Tag Archives: Covid-19

Hambantota, Sri Lanka: The Short, Troubled History of an International Airport and Deep-water Port

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Rusted-on aficionados of the unerringly “on the ball” 1980s BBC political satire Yes Minister will no doubt have total recall of the classic episode where Sir Humphrey Appleby defends the existence of a brand spanking new, impeccably clean and spotless hospital which remains resolutely and defiantly free of patients. Well, Sri Lanka has it’s own non-fictional version of this writ large with the Mattala Airport.

Source: BBC

This real life ”Yes Ministeresque moment has been acted out in Hambantota on Sri Lanka’s southeastern tip. Over a decade ago the government decided to build a no-expenses-spared showcase city with state-of-the-art facilities. The commercial venture was nothing if not ambitious…the focal point being a new international ‘greenfield’ airport, Mattala Rajapaksa International Airport (මත්තල රාජපක්ෂ ජාත්‍යන්තර ගුවන්තොටුපළ), pride of place in “a multi-billion dollar city in the middle of the jungle”. The plan included a swish, diversified facility deep sea port, an industrial zone and a test-standard cricket stadium [‘Sri Lanka’s Debt Crisis Is So Bad The Government Doesn’t Know How Much Money It Owes’, Wade Shepard, Forbes, 30-Sep-2016, www.forbes.com;]. ‘The Story Behind the World’s Emptiest International Airport’, Wade Shepard, Forbes, 28-May-2016, www.forbes.com].

M Rajapaksa with Indian PM Modi (Source: the week.in)
Rajapaksa, eponymity in overdrive 
What made Hambantota, a small, backwater fishing town (population even now no more than about 56,000) four-and-a-half hours drive from the capital Colombo a candidate for such a major economic development? It owed its meteoric elevation in part to a genuine need for (overdue) reconstruction after the destruction wreaked by a 2004 tsunami, but another significant factor is that Hambantota is the home region of Sri Lankan strongman and former president, Mahinda Rajapaksa (Mahinda’s younger brother Gotabaya is currently the country’s president). Hambantota bore all the hallmarks of a massive vanity project – in an initiative that would have satisfied Alexander the Great’s lust for eponymous self-glorification, the airport, the sea port, the cricket ground, everything was slated to be named after the senior Rajapaksa!  

“White elephant“ of an airport

Image: sundayobserver.lk
The showcase airport in Hambantota (opened in 2013), so far, has been an unmitigated dud! International carriers after sampling the route have given the destination a wide birth (FlyDubai was the last to bail out in 2018), with the airport’s sole remaining activity resting on the wings of the island-state‘s national carrier (Sri Lankan Airlines — SLA). The reality for Mattala Rajapaksa Airport (HRI) is a starkly sober one…its core activity reduced to the farcical situation of just one solitary flight a week with a loss of $US18 million a year (Shepard, ’World’s Emptiest International Airport‘). Industry assessments of HRI as ‘uneconomical’ are commonplace, even insiders have joined the chorus…a former CEO of SLA described the airport as “at best a white elephant with a very small catchment area” [‘Sri Lanka suspends joint venture at the worlds emptiest airport’, CAPA, 24-Jul-2020, www.centreforaviation.com]. Integral to the fiasco has been the authorities’ failure to establish the basic building blocks necessary for international airport success – a sizeable local population; an intrinsic reason for tourists to come(𝒶); and a decent amount of commercial infrastructure to support it (‘Story Behind the World’s Emptiest International Airport’). 

Source: scmp.com
International deep-water port blues ළ ළ ළ The construction of Hambantota’s new deep sea international port—in its a short history following much the same “snowy-coloured pachyderm” trajectory as the Rajapaksa airport—drew a similar level of flak from critics…one described the costly project as a “42 million dollar rock”. Opened in 2010, Rajapaksa’s plan had been “to turn his own sleepy little constituency into a new global shipping hub”. Despite reporting a 2016 operating profit of US$1.81 m, the port has underperformed and its long-term economically viability has big question marks over it. Some Sri Lankans questioned the need for a new port when Colombo’s port already serviced needs adequately well (‘Sri Lanka’s Debt Crisis’). And the signs have not been promising, international shipping companies by and large have spurned the port’s facilities.  Government hopes that the new port would develop into an all-purpose hub, attracting the lucrative oil trade business skirting the Indian Ocean rim route and perhaps even rival Singapore in the region, seem to have been consigned to the realm of pipe-dreams. More immediately worrying for Sri Lanka is that it’s incapacity to repay the high-interest Chinese loans forced it into doing a “debt-for-equity swap” leaving the PRC in virtual control of the port [‘Why India is buying the world’s emptiest airport’, David Brewster, The Interpreter, 14-Jul-2018, www.lowyinstitute.org]. 

Chinese motives in the region 
The speculation among China-watchers is that Beijing has eyed off the new port as a potential naval base for it in the Indian Ocean region. Co-existing with this conjecture and part of Beijing‘s Belt and Road Initiative is that the view that China wants to build a SEZ(𝒷) around Hambantota. Both of these 
relate to the “String of Pearls” theory hypothesised by the US that China’s intention is to establish a network of military and commercial posts across the breadth of the Indian Ocean littoral – and extending to connect with the Chinese mainland, the construction of ”various land and maritime trade routes as part of China’s larger military ambition” (this has also been described as China’s “21st Century Maritime Silk Road”)(𝒸) [‘Here is All You Should Know About ‘String Of Pearls’, China’s Policy to Encircle India’, Maninder Dabas, India Times, Upd 23-Jun-2017, www.indiatimes.com. To this end Beijing already has established naval ports in Pakistan, Bangladesh, Myanmar and Malaysia, in addition to Sri Lanka. India recognises such a development as an inherent threat to its security and interests. One scenario postulates that a free trade agreement between China and Sri Lanka with the established foothold in Hambantota could provide a Chinese back door into Indian markets [‘China trick: Unviable port turns strategic asset’, Colonel R Hariharan, The Times of India, 17-Dec-2017, www.timesofindia.com)].


Indian countermove
New Delhi took a proactive approach to what it sees as China’s encroachment on its turf by negotiating a joint venture with Colombo concerning the HRI airport, putting up US$300 million to buy out Sri Lanka’s huge debt to China (Brewer). In return India would secure a 40-year lease over the airport. New Delhi’s motives for such a venture were less commercial (eg, a new, handy destination for Indian tourists) than they were geo-strategic, a move to stymie the Chinese incursion in its backyard and growing influence in the region…it would also, it was mooted, ”give India considerable control over how the port is used” (Brewer). Everything looked set to go ahead when the (Gotabaya) Rajapaksa government in 2020 suddenly stepped back from the joint venture with India, indicating instead that private enterprise within Sri Lanka would be offered the chance to invest in the HRI project [‘Sri Lanka, not India, will develop Mattala airport: Gotabaya Rajapaksa‘, Meera Srinivasan, The Hindu, 19-Dec-2019, www.thehindu.com].

Mattala Rajapaksa Airport

Covid-19 and the loss of tourism revenue has devastated the Sri Lankan economy leaving the country staring at the abyss, but years of bad economic policies by successive governments have led to the present dilemma. A succession of costly government infrastructure projects, as typified by Rajapaksa’s Hambantota project financed by massive domestic and external borrowing, contributed to the national economy’s decline. The upshot? A total debt blow-out between 2009 and 2014 for Sri Lanka, domestic debt tripled while foreign debt doubled…the largest external creditor has been China, which was all too-ready to step in with the money after allegations of Civil War crimes against the Rajapaksa government soured relations with Western regimes(𝒹) [‘There is no money left’: Covid crisis leaves Sri Lanka on brink of bankruptcy’, Minoli Sousa & Hannah Pietersen, The Guardian, 02-Jan-2022, www.theguardian.com].

Image: Lonely Planet

End-noteWhile Hambantota Port’s backers talk up its prospects (port “fully functional within 12 months”), the deal handing China a 99-year lease on the port in return for the funds needed to pay back loans and investors, has raised concerns that the Rajapaksa government has ensnared Sri Lanka in an ever-spiralling debt trap [‘Sri Lanka’s Hambantota Port to be fully functional by 2022’, The New Indian Express,  12-Jul-2021, www.newindianexpress.com].

PostScript: Defacto colony? Paikiasothy Saravanamuttu from the Colombo-based Centre for Policy Alternatives in April 2022 observed that “China is now part of the political architecture of Sri Lanka”.

 

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(𝒶the hope had been that the airport would lure tourists to wildlife parks and beaches in the south but this notion hasn’t as yet born any fruit

(𝒷) Special Economic Zone

(𝒸) another part of the ‘String’ is the China-Pakistan Economic Corridor

(𝒹) as at 2021 Sri Lanka owed more than US$5 bn to China alone

 

 

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North Head Quarantine Station: Shielding Sydney and Surrounds from the Importation of Communicable Diseases

The principle of preventing the spread of infectious disease by which people, baggage…likely to be infected or coming form an infected place are isolated at frontiers or ports until their harmlessness has been proven…
~ Port Nepean Q-Station‘s definition of ’Quarantine‘

Since the initial strains of Covid-19 turned the world upside down and inside out early last year, the word ‘quarantine’ has found a renewed vigour in the lexicon. In a previous blog the history of Sydney’s early animal quarantine station for imported livestock was outlined – ‘Sydney Foreshore’s Animal House of Detention and Segregation on Hen and Chicken Bay’, 21-Apr-2018. Human quarantine in Sydney has a much longer history. The story starts with governor of the colony of New South Wales Ralph Darling. In response to the cholera pandemic sweeping Europe and the risks of ship-borne disease being transported on vessels coming to the colony, Darling initiated a Quarantine Act in 1832  “subjecting Vessels coming to New South Wales from certain places to the performance of Quarantine”.

(Source: researchgate.net / Peter Freeman Pty. 2000)

Darling set aside the entire North Head peninsula (277 hectares)—on indigenous Gayamagal country in Manly on Sydney’s northern beaches—for the grounds of the quarantine processing centre. The exact site chosen for the Q-station, Spring Cove, overlooking Sydney Harbour, was already housing an infected and quarantined merchant ship, the Bussorah Merchant.

In the early years of the station’s operation, the practice was to keep sick passengers on board the vessels on arrival at Spring Cove. After complaints from the merchants about the delay and cost of keeping the ships tied up at North Head, the authorities started bringing the sick onshore to free up the transport ships, this required the construction of more substantial permanent accommodation and storage facilities at the Q-Station to replace the original makeshift buildings [‘North Head Quarantine Station’, Wikipedia, http://en.m.wikipedia.org].

Passengers disembarking at North Head Q-Station, 1940s (Photo: State Library of NSW)

Q-Station longevity
The old Quarantine Station enjoyed a surprisingly long lifespan at the North Head site, surviving albeit with decreasing utilisation until 1984this despite periodical calls for its closure…as far back as 1923 Manly Council alderman and later mayor Percy Nolan was advocating for the Q-Station’s removal in favour of open public space [Sydney Morning Herald, ‘Quarantine Station. Proposed Removal’, 31-May-1923 (Trove)].

Slabs of cut sandstone near the station’s wharf bear the markings of passengers detailing the dates and ship names of their journey to North Head

First class expectations
Conditions and facilities at the Q-station were regularly under scrutiny from the better-off passengers. First class passengers were not slow in bringing deficiencies in housing to the attention of the authorities, leading in the 1870s to the building of a new section of Q-Station passenger accommodation in what was known as “the Healthy Grounds” (Wiki).

A 1881 smallpox epidemic resulting in a large number of internee deaths at North Head facility exposed major shortcomings in the management of the Q-Station, including the lack of  a medical superintendent with a grasp of infection control; no clean linen and towels, soap or medical supplies for patients isolated with smallpox [Allen, Raelene, Smallpox epidemic 1881, Dictionary of Sydney, 2008, http://dictionaryofsydney.org/entry/smallpox_epidemic_1881, viewed 06 Sep 2021].

Aerial view of Nth Head Q-Station – c.1930 (Image: Office of Environment & Heritage)

Bulwark against plagues, viruses, bacteria, etc.
Over the decades the Q-Station at Manly has housed the victims of numerous diseases including smallpox, typhus, scarlet fever, measles and the bubonic plague, as well as victims of natural disasters. The Q-Station provided a refuge for returning WWI veterans suffering from TB and VD. At war’s end it served as the frontline defence against the lethal assault of the Spanish Flu.

(Photo: environment.
nsw.gov.au)

Gradual obsolescence
Post-WWII, as air travel gradually replaced passenger ships, the Q-Station’s role diminished in importance. In its final decades of operation the quarantine station was put to diverse use…housing the unvaccinated (eg, pregnant immigrants), accommodating  Vietnamese orphans and as a temporary abode for women and children evacuated from Darwin after Cyclone Tracy decimated that city in 1974 [‘The plague, smallpox and Spanish flu: How Sydney quarantined sick travellers throughout history’, Sarah Swain, 9 News, 2020, www.9news.com.au; ’Q Station on Manly’s North Head echoes with history of pandemics past’, Kathy Sharpe, Mandurah Mail, 21-Jul-2021, www.mandurahmail.com.au].

The stairway (connecting the wharf with the housing) replaced the funicular in use during Q-Station period (Photo: Sydney Coast Walks)

No longer a quarantine station, the surviving 65 heritage buildings are set against the beautiful natural bush land of the Sydney Harbour National Park. Today the old Q-station is converted into a hotel complex (104 rooms including nine self-contained cottages, managed by Accor) with all the tourist trappings, including sleepovers and nocturnal “Ghost and Paranormal tours”.

Pt Nepean Q-Station (Photo: Parks Vic)

Footnote: Port Nepean, North Head’s counterpart
In Melbourne, that city’s historic quarantine station can be found on the Heads of Port Phillip Bay. Port Nepean Quarantine Station can point to a similar eventful history to that of the North Head facility. Like it, the Melbourne Q-Station owes it’s existence to an infected immigrant ship…the arrival of the SS Ticonderoga in 1852 with 300 passengers stricken from disease, necessitating the ship’s quarantining at Port Nepean, which led to it’s establishment as a Quarantine Station (originally called “the Sanitary Station”). By the 20th century Port Nepean Q-Station had developed a number of innovative processing features including the memorably named “Foul Luggage Receiving Store”. The station’s Disinfectant and Boiler buildings also became models for other quarantine stations in Australia [‘Quarantine Station’, Parks Victoria, www.parks.vic.gov.au]. At one point animals were also quarantined at the location. By 1978 Port Nepean had ceased operating as a quarantine facility and was closed in 1980. Subsequent uses of the site and holdings include a military encampment and a temporary refuge for 400 Kosovar refugees fleeing the Bosnian War in the early 1990s.

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“to prevent the introduction of the disease called the malignant Cholera and other infectious disease”

during that one-and-a-half centuries the Q-Station was the initial home in Sydney for an estimated 13,000 passengers

  and the need to build a third Q-Station cemetery to accommodate the rise in mortality

 

In the Realm of the “Dear Leader”, Kim Jong-un’s North Korea

Like the great majority of the world’s population I’ve never been to North Korea…but unlike most people I have been to the very edge of Kim Jong-un’s secretive “Hermit Kingdom”. In 2019 I ate at restaurants run by North Korean exiles in the vibrant, lively Chinese border city of Dandong (directly opposite the seemingly dead NK city of Sinŭiju). I have also bought North Korean souvenirs from ex-pat NK market stall-holders on the Yalu River, the DPRK’s western boundary. As close to the “Kim Kingdom” as you can get, I have penetrated deep within North Korea’s territorial waters by boat on the Yalu River➊.

Source. CFR

Kim Jong-un took the helm of the North Korean regime in 2011, succeeding his father Kim Jong-Il. Given his youth, 28, and lack of experience, external observers have had doubts whether the novice could establish a lengthy hold over the country. But ten years later Kim Jong-un is still firmly in control. This can be explained by a number of factors.

The first two Supreme Leader Kims (Photo: Reuters)

Stalinist purges – Korean “Game of Thrones”
The Kim dynasty had been entrenched for over 60 years by the time it was Kim Jong-un’s turn, allowing him to inherit a stable regime commanding absolute authority as “Supreme Leader” (Suryong). Kim Jong-un also inherited the “Stalinist dictatorial public persona of his grandfather (cult of personality) and the political nous of his father” (Patrikeeff). On top of this the young Kim has adopted a ruthless approach to dealing with potential threats to his leadership through periodic purges … senior military figures removed from high office, politicians including his own uncle executed and a half-brother assassinated in Malaysia. In this Kim Jung-un (KJU) was following the pattern of his predecessors in “coup-proofing” his rule (playing off one institutional rival against another, coupled with the purging of latent threats) (Habib). Kim’s purge targets include the North Korean economic elites (the Donju who like the army had benefitted from the Supreme Leader’s patronage system). Purges keep the elites in a state of instability, unable to predict Kim’s moves (Michael Madden).

Flag of WPK

Hegemonic role of the Party
Another strategy employed by KJU to consolidate his hold on power was to reinvigorate the effectively obsolete Worker’s Party of Korea (WPK) as the core political organ of the state. This saw the emergence of a new pecking order under KJU – the rhetoric of Party / State / Army signalled the relegation of the military in politics to a role of secondary importance➋.

(Photo: Korean Central News Agency via AP Images)

The Kim Jong-un ‘vision’
Modernisation and beefing up the DPRK’s lethal strike force are high on the totem pole of KJU’s objectives. Kim has ploughed ahead with nuclear tests and missile launches in a transparent show of strength and intimidation aimed at the state’s enemies. The “Dear Leader”, as he likes to be called, is intent on more than military modernisation. Kim wants to be seen as a modern leader of a modern country, pursuing economic development as an instrument to “hook into the South Korean economic engine”…which goes a good way to explaining KJU’s diplomatic change of tack (the recent pivot to diplomatic relations with Seoul) (Ken Gause).

Leader Kim & Sister Kim

Succession plan?
The only apparent dark shadow on the landscape for Kim Jong-un➌ is the state of his own health. Overweight, a heavy smoker with a preference for rich imported foods and alcohol, rumours intensified after his three week disappearance in April 2021. Succession talk has surfaced with a possible candidate being Kim’s younger sister Kim Yo-jong.

“Crazy and irrational” Kim Jung-un
It’s tempting to write off KJU, with his erratic behaviour and bombastic pronouncements—as some sections of the mass media do—as crazy and irrational. Benjamin Habib demurs from the caricature image of Kim, contending that it deflects from the existence of a rational strategy by the regime. The argument goes that the nuclear flexing by KJU and the blustering official statements are all part of a calculated rhetoric.

(Source: The National Interest)

In this view Pyongyang’s raison d’etre in an ultimate zero-sum-game is it’s existential survival and the over-the-top weaponising is more about projecting a deterrence to South Korea, Japan and the US, rather than an aggressive intent to carry through with the threats. In the logic of North Korea’s circumstance, the use of military force is the “only credible security guarantee in what it perceives to be a strategically➍ hostile environment”. The country’s H-bomb/A-bomb and ballistic missile capability, Habib suggests, should not automatically be seen as signifying an intention to deploy on the part of the North Koreans (Habib).

Kim has stepped up the elaborate military parades recently (one in October 2020 and again in January 2021), this can be seen as a show of resilience for public consumption in the face of the triple threat to the country – Covid-19, a wave of economic sanctions and a spate of natural disasters (WPR).

Inhuman excesses
Human rights are of course at a premium in such a doctrinaire totalitarian state, but Kim’s excesses and violations again can be viewed as part of “the rational and predictable politics” which are standard in authoritarian dictatorships such as the DPRK (Habib). Social control under KJU has a distinctly Orwellian tinge with the Songbun system which herds citizens into three distinct “socio-political” classes – ‘loyal’, ‘wavering’ and ‘hostile’ (HRW).

Juche Torch, Pyongyang

🇰🇵 Endnote: ‘Juche’ – Official state ideology
The “Hermit Kingdom” endorses a philosophy of Juche, devised by Kim Il-sung. Roughly translated as “self-reliance”, by which the regime means that the Korean masses acting as the masters of their own destiny make it possible for the nation to become self-reliant and strong and thus attain true socialism (‘Juche Idea: Answers to Hundred Questions’).


𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯𖣯

➊ peering over the border into Kim Jong-un World, even from the excellent high vantage point of Hushan Great Wall, didn’t disclose much evidence of human habitation. I saw kilometres and kilometres of not unattractive empty fields and meadows, lots of green countryside but no people to speak of. The DPRK’s population of 25 million must be somewhere over there but clearly not on this borderland of the country

➋ since the 1990s Songun “military first” (over other elements of society) had been a key ideological tenet of the regime

➌ leaving aside the possibility of Kim miscalculating his hand or overreaching himself internationally with his policy of aggressive regional brinkmanship

➍ we might add “and ideological”

   

Bibliography
‘The dangerous enigma that is Kim Jong-un’, (Felix Patrikeeff), InDaily, 08-Jan-2016, www.indaily.com.au

‘5 assumptions we make about North Korea — and why they’re wrong’, (Benjamin Habib), Nest, (2017?), www.latrobe.edu.au

‘North Korea’s Power Structure’, (Eleanor Albert), Council on Foreign Relations, 17-Jun-2020, www.cfr.org

‘North Korea Events of 2018’, Human Rights Watch, www.hrw.org

‘North Korea’s Latest show of Strength Masks Its Weaknesses’, WPR, 28-Jan-2021, www.worldpoliticsreview.com

The Americas, Pandemic on the Back of Poverty: Mexico and Venezuela

While Brazil has the unenviable title of the worst coronavirus hotspot in Latin America sown up, Mexico has steered a similar course to disaster in the face of the pandemic. As Brazil’s coronavirus count climbs to well over 1.1 million confirmed cases and closing in on 53 thousand fatalities, the galloping toll in Mexico—60% the size of Brazil population-wise—now registers 191,410 cases and 23,377 deaths  (as at 24-June-2020).

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(Source: www.lonelyplanet.com)


False security?
Among some Mexicans there seem to be a sense that the country’s demographics which are skewed toward the young—around 85% of the population is under 55—may act as a barrier against coronavirus. This confidence may be misplaced due to several factors: pre-existing health conditions in Mexico which affect younger cohorts as well—make the population more vulnerable to the ravages of coronavirus, as the table below indicates [‘Many young Mexican at risk from Covid-19’, (James Blears), Vatican News, 31-March-2020, www.vaticannews.va]. the death-rate from COVID-19 among maquiladora workers in the border region of Baja California was found to be 25 times higher for the age bracket 40-49 than in the corresponding San Diego County, [‘COVID-19 killing young maquiladora workers, study shows’, (Salvador Rivera), Border Report, 11-Jun-2020, www.borderreport.com].

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A league of populist leader ‘bedfellows’?
The way Mexico under its president, Andrés Manuel López Obrador, has approached the pandemic has disturbing parallels with that of Brazil’s leader Bolsonaro, and with the US under Trump. Despite a difference of ideological orientation—Obrador (who’s commonly known within Mexico as AMLO) is a Left-populist whereas Bolsonaro and Trump are Right-populists—the Mexican leader has pursued much the same course with similar outcomes. AMLO’s government was slow to engage in the fight against COVID-19 in the critical early period. The virus apparently entered Mexico via overseas returnees, primarily wealthier Mexicans returning from business trips to Italy and skiing holidays in Colorado, and then spread to low-income groups [‘Mexico’s Central de Abasto: How coronavirus tore through Latin America’s largest market’, (Mary Beth Sheridan), Washington Post, 21-Jun-2020, www.washingtonpost.com].

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🔺 AMLO, pressing the flesh (Photo: Mexico’s Presidency Handouts/Reuters)

How not to contain a pandemic
Like his US and Brazilian counterparts, AMLO justified his inaction by being dismissive of the disease, continually downplaying its risk to people, and he was negligent by example. After the outbreak Obrador toured the country, holding rallies sans face masks, nonchalantly meeting and greeting supporters, freely shaking hands, embracing people and even kissing them✱. The president’s advice to the Venezuelan people was simply to continue to “live life as usual”…until late March he was encouraging people to go out, attend fiestas, dine in restaurants and go shopping, airports remained open◘  – a clear indicator that Obrador’s priority was the health of the economy rather than the health of the public [‘Poverty and Populism put Latin America at the centre of the pandemic’, (Michael Stott & Andres Schipano), Financial Times, 14-Jun-2020, www.amp.ft.com; ‘AMLO’s feeble response to COVID-19 in Mexico’, (Vanda Felbab-Brown), Brookings, 30-Mar-2020, www.brookings.edu].

Abject lack of medical preparedness.
Obrador’s dangerous indifference to the crisis extended to a half-hearted medical intervention. Testing for COVID-19 has remained woefully low, no program of widespread testing or of contact tracing – these vital measures dismissed as being impractical for a population of 128 million (Sheridan; Stott & Schipano). The reluctance to test extensively is no doubt also related to Mexico’s health care incapacity. Despite having gone through the experience of the 2009 H1N1 influenza outbreak, subsequent Mexican administrations have permitted the country’s health sector to run down, funding to hospitals and medical centres have been cut by millions. Mexico has only 1.4 hospital beds for every 1,000 persons and just over 2,000 ventilators all up. The shortfall extends to physicians, medical equipment including PPE and coronavirus test kits [‘Mexico’s coronavirus-sceptical president is setting up his own country for a health crisis’, (Alex Ward), Vox, 28-Mar-2020, www.vox.com].

Shooting the messenger
Inevitably AMLO has copped a lot of internal criticism for his irresponsible response to the crisis. Rather than taking positive measures to try to undo the disaster of his own creation, Obrador has gone on the attack against the Mexican independent media. Again invoking the Trump playbook, he has railed against the “fake news” and “Twitter bots” who have opposed his government’s handling of the situation. Independent investigations in fact have brought to light the clandestine activities of Notimex (the state-owned news agency) which has created a network of bots and fake accounts to discredit prominent journalists and label them as ‘criminal’ [‘Mexican President López Obrador frets about the spreading virus of fake news, but not COVID-19’, (José Miguel Vivanco), Dallas News,16-Jun-2020, www.dallasnews.com]. 

AMLO has taken to giving regular video ‘sermons’ to the masses (he calls them “Decalogues to emerge from coronavirus and face the new reality”)…these are not as you might surmise updates on how the government is attempting to counter the pandemic, but an uninspiring mish-mash of banalities about staying positive, eating corn and getting sun and fresh air. With the unchecked escalating death toll from the disease, many believe Obrador has given up any pretence to even trying to combat the virus [‘Mexico’s president has given up in the fight against the coronavirus’, (León Krauze), Washington Post, 19-Jun-2020, www.washingtonpost.com]. In this most unpropitious context AMLO is now taking an imprudent gamble by lifting restrictions – despite the curve of Mexican infections continuing to shoot upwards.

🔻 Mega-mercado, Mexico City

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Footnote: Mexico City epicentre
Mexico City accounts for about one quarter of all COVID-19 deaths in Mexico. The offical counts however are only starting points to explain the catastrophe. A Mexico City study by Nexos magazine found that there was an “excess mortality” of more than 20% unaccounted for by the official figures [‘8,000 ‘excess deaths’ in Mexico City as coronavirus rages: study’, Ajazeera, 26-May-2020, www.aljazeera.com]. One of the capital’s biggest clusters is the wholesale mega-market, the Central de Abasto. The enormous mercado providing 80% of the city’s food is a petri-dish for the virus which has cut a scythe through its 90,000-strong workforce, infecting its tomateros, chilli vendors and other workers whose need to keep working is often greater than their fear of the pandemicφ. The vendors and carters have another reason for continuing working even when they become ill – working class Mexicans are accustomed to poor quality health care and often harbour a distrust of hospitals (Sheridan).

⏦⏦⏦ ☤☤☤ ⏦⏦⏦

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(Image source: www.studentnewsdaily.com)

Venezuela: Showcase numbers but a lack of transparency
Although the available statistics relating to Venezuela don’t reflect the dramatic numbers in Mexico, the situation in the South American country is peer bit as parlous. Venezuela has fessed up to 4,186 cases and 35 deaths (24-Jun-2020), but these figures have little credibility with independent observers. Venezuela has done very limited testing for the disease with the testing data guarded very carefully by the government [‘Hunger, Infection, and Repression: Venezuela’s Coronavirus Calamity’, (Stephanie Taladrid), The New Yorker, 29-May-2020, www.newyorker.com]. Doubters outside the country have noted that Venezuela’s health system was already in a state of collapse before COVID-19 arrived, citing as evidence:  the country‘s functioning intensive care beds are estimated to number between 80 and 163; nil or intermittent supply to water to two-thirds of hospitals; power cuts off at regular intervals; shortages of gloves and face masks in 60% of hospitals; 76% of hospitals shortage of soap and 90% were short of sanitising gel [‘Venezuela’s Covid-19 death toll claims ‘not credible’, human rights group says’, (Tom Phillips), The Guardian, 27-May-2020, www.theguardian.com]. 

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 🔺 Maduro: “People, we are identity”

President Maduro—already embroiled in a political and socio-economic crisis acerbated by long-term US trade sanctions on Venezuela—imposed a national lockdown in March. A side benefit to the lockdown (now extended to July) is that it allows the regime more scope to crack down on its critics…the obvious targets being opposition politicians and increasingly journalists, doctors and nurses who report adversely on Maduro’s handling of the pandemic (especially if they query the reported official numbers). [‘Venezuela’s Zulia State emerges as coronavirus hot spot’, Reuters, 24-Jun-2020, www.news.yahoo.com].

Footnote: Rich and poor, a widening of the divide 
At the point of corona impact, the contrast between Venezuela’s masses and the elite have sharpened even more. The brunt of the economic crisis has fallen squarely on the poor and middle-class citizens – skyrocketing prices, scarcity of necessities, a greatly devalued Venezuelan bolivar, the oil price plunge (oil accounts for 98% of Venezuela’s export revenues), and over-reliance on the informal economy by the lower socio-economic classes [‘Why coronavirus could be catastrophic for Venezuela’, (Katy Watson & Vanessa Silva), BBC News, 12-Apr-2020, www.bbc.com]. With corruption, cronyism and nepotism ingrained in Venezuela, the Maduro regime and its acolytes—the heirs of Chavismoism—continue to benefit lavishly from black-market and other illicit financial activities [‘Freedom in the World 2020: Venezuela’, Freedom House, www.freedomhouse.org].

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✱ AMLO preferring to travel and mingle accompanied only by his personal amulets for ‘protection’

  only in the last week of March did the government retreat a bit and start to urge the public to stay-at-home

φ the CDMX-run market only acted, bringing in health workers, ramping up testing and contact tracing, after workers starting dropping in significant numbers (Sheridan)…as with the rest of Mexico, too little, too late

 beneficiaries of this state largesse and privilege include the bolichicos, the wealthy children of the regime’s top leaders 

The Americas, Pandemic on the Back of Poverty: Peru and Ecuador; and a Southern Cone Contrarian

As Europe starts to pull itself out of the worst of the coronavirus outbreak, the Americas for the most part are still firmly mired in the devastating crisis of the pandemic…more worryingly, COVID-19 cases continue to rise and even accelerate in some countries as Latin America seems to be turning into “pandemic central”, the ‘new’ Europe❅. This is occurring despite the continent comprising only eight percent of the world’s population and having had the advantage of time to prepare for the virus which reached its shores some six weeks after ravaging Europe.

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(Source: www.maps-of-the-world.net)

Smallness helps
The picture of Central and South America is not uniformly bleak. Some of the smaller countries, such as Uruguay, Paraguay and El Salvador, have managed to restrict their nation’s outbreaks to low levels of infection and casualties. This last mentioned country was surveyed in an earlier blog entitled Courting Controversy in Coronavirus Country: Belgium and El Salvador – June 2020). Among the Southern Cone countries, Argentina and Uruguay stand in contrast to their neighbours Chile and Brazil. Argentina (population of >45 million)—its commendable performance vs the virus slightly tarnished by a recent upsurge following an easing of the lockdown—has a total of 39,557 COVID-19 cases and only 979 deaths, compared with Brazil (whose leader Jai Bolsonaro has taken a recklessly dismissive attitude towards the pandemic). Even on a per capita basis Argentina‘s figures are still a fraction of the human disaster befalling Brazil which has racked up 1,038,568 cases and 49,090 deaths (population: 212 million). The Argentine Republic’s results are also way better than Chile’s record of 231,393 cases and  4,093 deaths (from just 19 million) [‘Argentina’s president enters voluntary isolation amid coronavirus surge’, (Uni Goñi) The Guardian, 18-Jun-2018, www.theguardian.com].

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Brazil: COVID-19 mural message (Source: Getty Images)

Uruguay: Stellar success of an outlier
Uruguay has fared as well as anyone in Central/South America in avoiding a pandemic catastrophe on the scale of some of its neighbours. A tiny population (3.5 million) helps immeasurably but the sheer lowness of its corona numbers stands by themselves – just 1,040 confirmed cases and 24 deaths. This has been achieved despite a demographic profile that should have made it highly vulnerable to the disease: the largest regional proportion of  elderly citizens and a population which is 96% urban. And an outcome secured not by lockdowns and quarantines (allowing Uruguay to preserve its national economic health cf. the stricken economies of its large neighbours Brazil and Argentina), but by eliciting the voluntary compliance of its citizenry – and through the luxury of having a near-universal, viable health care system✺ [‘Why Is Uruguay Beating Latin America’s Coronavirus Curse?’, (Mac Margolis), Bloomberg, 30-May-2020, www.bloomberg.com].

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Uruguay (Photo: Daniel Rodrigues/adhoc/AFP via Getty Images)

Peru:   
Aside from Brazil the country in the region most in strife due to the pandemic at the moment is probably Peru. Peru’s statistics are stark – over 247,925 confirmed cases and 7,660 deaths in a population of 32 million. What is particularly troubling about Peru is that, unlike Brazil, at onset it seemed to be pulling all the right reins, implementing one of Latin America’s earliest and strictest lockdowns. Months of enforced lockdown have however failed to flatten the curve of infections. Peru finds itself in a demoralising “double whammy”, the public health catastrophe continues unabated❈ while the recourse to a tough national lockdown has further crippled the economy [‘Poverty and Populism put Latin America at the centre of the pandemic’, (Michael Stott & Andres Schipano), Financial Times (UK), 14-Jun-2020, www.amp.ft.com; ‘Peru’s coronavirus response was ‘right on time’ – so why isn’t it working?’, (Dan Collyns), The Guardian, 21-May-2020, www.theguardian.com]✪.

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⇑ Andean pabluchas patrol Cuzco streets to enforce social distancing and mandatory mask measures (Photo: Jose Carlos Angulo/AFP/Getty Images)

Indicators of the poverty trap
The economic predicament Peru finds itself stems from the country’s high reliance on an informal economy (reaching some 70%). What Peru has in common with Brazil—and has been exacerbated by the pandemic—is very high social inequality. The poorest Peruvians cannot afford to stay home, to isolate as they should. Many are without bank accounts and under the informal economy have to travel to collect their wages, those without home refrigerators also need to shop frequently – all of which makes them more vulnerable to be exposed to the virus [‘Latin America reels as coronavirus gains pace’, (Natalia Alcoba), Aljazeera, 15-Jun-2020, www.aljazeera.com]. Disease and impoverishment have converged in Peru to make the predicament more acute for those of the poor who need life-saving oxygen of which there is now a scandalous critical shortage – the situation being exploited by profiteering hit men (the sicarios) controlling the black market oxygen supplies [‘In Peru, coronavirus patients who need oxygen resort to black market and its 1,000 percent markups’, (Simeon Tegel), Washington Post, 18-Jun-2020, www.washingtonpost.com].

Ecuador and Guayaquil

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Ecuador:  
In Ecuador the pandemic epicentre is the western city of Guayaquil, the country’s largest city. This is thought to be due to a couple of factors, the city’s sprawling slums where “many residents live hand-to-mouth and routinely violate the government lockdown…in order to work”, and because many Guayaquil exchange students and migrant workers came back to the city from Spain and Italy in March [‘COVID-19 Numbers Are Bad In Ecuador. The President Says The Real Story Is Even Worse’, (John Otis), NPR, 20-Apr-2020, www.npr.org]. The unpreparedness and inability of the authorities to cope with the crisis has affected the woeful degree of testing done, the lack of hospital facilities for patients and even the capacity to bury the dead as the bodies of coronavirus victims were left piling up on the city’s streets. In the wake of the disaster the Guayaquil Council entered into a slinging match with Quito (the national government), asserting that the government has under-represented the city’s death toll by as much as four-fifths, that it failed to provide it with the health care backup demanded of the disaster, as well as calling out the corruption of public utilities which has accentuated the crisis (Alcoba). Ecuador currently has 49,731 confirmed cases and 4,156 fatalities in a population of 17 million.

⋕ ⋕ ⋕ ⋕ ⋕ ⋕

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End-note: The hypothesis of virus protection at high altitude 
Among the multitude of worldwide research projects triggered by the pandemic, a multi-country study looking at Bolivia, Ecuador and Tibet has advanced the theory that populations that live at a height of above 3,000 metres have significantly lower levels of susceptibility to coronavirus than their lowland counterparts. The study attributes the capacity of high altitude to nullify the disease down to the fact that living at high altitude allows people to cope with hypoxia (low levels of oxygen in the blood), and that the altitude provides a favourable natural environment—dry mountain air, high UV radiation and a resulting lowering of barometric pressure—reduces the virus’ ability to linger in the air. The COVID-19 experience of Cuzco in Peru seems to corroborate this hypothesis, being lightly affected compared to the rampage elsewhere in the country – the high Andean city has had only 899 confirmed cases and three deaths. Similarly, La Paz, Bolivia, the world’s highest legislative capital, has recorded only 38 coronavirus-related deaths to date [‘From the Andes to Tibet, the coronavirus seems to be sparing populations at high altitudes’, (Simeon Tegel), Washington Post, 01-Jun-2020, www.washingtonpost.com].

 
<Þ> all country coronavirus counts quoted above are as at 20-June-2020

……………………………………………………………………………………………………

❅ for week ending 20th June 2020, confirmed cases for Latin America represented half of all new coronavirus cases (Source: WHO)  
✺ a like-for-like comparison to Uruguay might be Paraguay – also a small population (6.9 million), only 1,336 cases and 13 deaths but at the cost of a draconian lockdown with an economy-crippling end-game. 
even prior to COVID-19 striking, the Peruvian public health system was struggling due to “decades of chronic underinvestment” (eg, spending <$700 a day on health care) (Tegel, ‘In Peru’)   
the strict lockdown has been less rigorous when removed from the urban centres…in outlying areas, in the northern coast and the Amazonas region (particularly bad in the Amazonian city of Iquitos) it was less “honoured in the breach than the observance” leading to the formation of new virus clusters (Collyns)  

⊠ other experts discount the study’s findings noting that most coronavirus infections occur indoors, negating the relevance of UV levels (Tegel, ‘From the Andes’)

The Choral Powder Keg: A Health Hazard Tailor-made for the COVID-19 Crisis

When a pandemic or some similar “Black Swan” event sweeps the world, hitting many countries with great intensity, particularly in Western societies with a high degree of religiosity, comfort and solace is often sought within the spiritual “safe house” of the church. As soon as the novel coronavirus landed and spread, it was apparent the church services especially where high rates of attendance was commonplace, would pose a public health risk.

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(Source: www.newslocker.com)

Yet in the US eleven state governors chose to maintain freedom of worship over community safety by exempting religious institutions from the general prohibition on public gatherings, notwithstanding that some of the states registered the biggest clusters of COVID-19. Even in other states there was a pushback by church men and women against government bans on assembly in places of worship. As a consequent 71 members of a single church in Sacramento were infected by the virus [‘Pastor who refused to close church due to coronavirus killed by outbreak’, (Rebecca Nicholson), Express, 15-Apr-2020, www.express.co.uk].

This was mirrored in overseas scenarios, in South Korea in February, one infected churchgoer infected at least 37 other members of her church on a single contact [“‘Superspreader’ in South Korea infects nearly 40 people with coronavirus’, (Nicolette Lanese), Live Science, 23-Feb-2020, www.livescience.com].

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South Korean choir with face masks  (Source: AP)

The choral petri-dish
The holding of packed sermons in churches and other places of worship, like any close contact between confined, concentrations of people, breaches the prescribed social distancing guidelines and exacerbates the incidence of coronavirus infection. But just as dangerous and with even more potential to transmit the viral disease through communities is the choral activities of churches. The activities of choirs initially continued unabated in the early stages of the pandemic but an incident in Washington state in early March brought home how risky choir practice is. 61 people attended a choir practice at a Presbyterian church in Skagit County, within a short time 45 of the group had been infected by COVID-19 and two had died. Other choir outbreaks, some fatal, have occurred In Calgary (Canada), Amsterdam (Netherlands) and in South Korea [‘Scientists to choirs: Group singing can spread the coronavirus, despite what CDC may say’, Richard Read), Los Angeles Times, 01-Jun-2020, www.latimes.com].

Infectious diseases experts have pinpointed the obvious dangers of contagion associated with choir singing…unrestrained vocal activity at close quarters in often poorly-ventilated, confined space. The vocalists exhale and inhale deeply to sing which makes them highly susceptible to the passage of airborne particles. Through the process of aerosolisation, the virus floats freely in the air (and has been observed to survive for up to three hours) [‘Churches can be the Deadliest Places in the COVID-19 Pandemic’, (Kevin Kavanagh), Infection Control Today, 03-Apr-2020, www.infectioncontroltoday.com; Read].

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Inexplicable change of stance by CDC
With eyes fixed on the November elections and the need to shore up vital support from the Evangelical Christian Right, President Trump from his White House ‘pulpit’ intensified his call in May for 
governors to reopen religious institutions as an essential service, eliciting pushback from some governors. At the same time, surprisingly the Centers for Disease Control and Prevention (CDC) decided to drop their warnings against choral singing despite the inherent danger it poses. CDC justifies this change of position by downplaying the likelihood of airborne transmission beyond six feet [‘Behind Trump’s demands to reopen churches: Slipping poll numbers and alarm inside his campaign’, (Gabby Orr), Politico, 22-May-2020, www.politico.com; Read).

Heightening the risk of unleashing ‘super-spreaders’
CDC’s controversial move has drawn broad criticism from medical experts including specialists in bio-aerosol research who have refuted CDC’s claim, calling it “hazardous, very dangerous and irresponsible”, and that it exposes America to new waves of super-spreading from the activity of choir members (Read).

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  With religious singing relegated to the home, some American churches have tried to get round the prohibition on in-house congregational services by organising drive-in sermons

Fallout from the churches
Although many parishes and parishioners in the US have adjusted well to the new world of online sermons, some traditional congregationalists worry that 
the new ‘norm’ will spell the disappearance of the in-person church experience altogether [‘How the Pandemic Will Change Us’,  (Rod Dreher), The American Conservative, 13-Mar-2020, www.theamericanconservative.com].

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(Photo: www.stjohnswhitchurch.org.uk)

 

Endnote: The economics of the choral closedown
The halt to choral activities due to COVID-19 has led to a whole bunch of “knock-on” problems worldwide. Like anybody else with their income source impacted adversely by the crisis, choristers, classical musicians and organists attached to the churches affected have been deprived of livelihood. But it goes even beyond that. As the Royal School of Church Music in the UK indicated, the pandemic ”has literally ripped apart the many close-knit groups of singers and instrumentalists who (need to) spend significant amounts of time together”. Church musicians who rely on the service are especially hard hit. It is doubly hard for self-employed church organists who have lost their access to practice – unlike other musicians who keep their instruments at home, they rely on “using instruments in public buildings for the vital practice which enables them to maintain their hard-earned skill” (Royal College of Organists). [‘Pandemic has ‘ripped apart’ church choirs’, (Hattie Williams), Church Times, 01-Apr-2020, www.churchtimes.co.uk].

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(Source: eBay)

PostScript: There is another side problem resulting from the non-use of organs in churches. Like the raft of airplanes grounded due to the coronavirus, complex and expensive organs require continual attention. They need “regular playing to ensure that the fragile technical components are kept in good working order“ and  free from damage (Williams).

•—————————————-———————•

the Washington Post states that CDC acted on a White House directive to omit the choir warning from it’s website guidance information. CDC may have also relied on earlier statements from WHO contending that “there is no evidence of transmission of the virus as an airborne pathogen”. WHO’s conclusions have themselves been debunked as “decades-old dogma that held that droplets only travel an arm’s length in the air” (Read)

Coronavirus and Age Vulnerability: The Riddle of Japan

Both the medical experts and the empirical evidence on the ground tell us that the elderly are the cohort in the community most susceptible to COVID-19. The Office of National Statistics (UK) calculates that people aged 80 and over have >59% risk of dying from coronavirus (www.ons.gov.uk/). The pandemic’ age bias skewed against older populations is one explanation, in the absence of much hard data, put forward to explain the African continent’s current low rate of mortality due to the virus – overall 111,812 confirmed cases and only 3,354 deaths (as at 25-May-2020) [‘Coronavirus in Africa tracker’, BBC News, www.bbc.co.uk/]. The percentage of the African population aged under 25 is 60% (in sub-Saharan Africa the number over 65 is only 3%)[‘Coronavirus in Africa reaches new milestone as cases exceed 100,000’, (Orion Rummler), Axion, 22-May-2020, www.axios.com].
And if we needed any more empirical proof of the salience of the age factor, there is the tragic example of Italy’s corona-toll. 32,785 dead from COVID-19 in a country with the oldest population in Europe. Nearly 58% of the country’s deaths in the pandemic have been Italians aged 80 and over [Statistica Research Department, (22-May-2020), www.statista.com/].
4E0F4A05-F587-45ED-BC34-E10F32BB0CFBWith Italy’s grim corona-death tally falling disproportionately heavily on the country’s senectitude, you would think that it would not bode well for Japan which has the world’s highest percentage of older people (28.2% aged 65 and more) [Population Reference Bureau, www.pbr.org/]. When you add in other demographic factors relevant to Japan, this would seem doubly ominous for the “land of the rising sun” – a population of >126 millions on a land area of 377,944 sq km, including the mega-city of Tokyo  with its notoriously packed commuter trains. On top of all these is Japan’s proximity to China, the virus’ original causal point.
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Sardine distancing (Source: www.quora.com)
Japan, unpropitious conditions for avoiding a global epidemic?
With such cards stacked against it, worried Japanese health officials might have feared a catastrophe eventuating on the scale of that befalling the US, Italy and UK. And Japan has not come out of the pandemic unscathed but the result-to-date (25-May-2020)—16,550 confirmed cases and 820 deaths—is much better than many comparably sized and larger countries. Of course, Japan’s  public health authorities are very mindful, as is every country, of being swamped by a second wave of the coronavirus. 
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(Photo: www.english.kyodonews.net)
How has Japan done as well as it has?  
Good question! The Japanese themselves can’t really explain how they’ve managed to escape a major outbreak of the virus. WHO has called it a “success story”, but it’s one that continues to mystify. In so far as explanations were forthcoming from Japan’s health ministry, it was attributed at least in part to a raft of cultural factors. First, hygiene and cleanliness is something ingrained in the Japanese psyche, Japanese people tend not to shake hands and hugs others, preferring to bow as the form of greeting. Second, the practice of wearing face masks was already the norm in Japan ante-COVID-19 (the Japanese go through 5.5bn a year, averaging 43 per head of population) [‘Most coronavirus success stories can be explained. Japan’s remains a ‘mystery’’, (Jake Sturmer & Yumi Asada), ABC News, 23-May-2020, www.abc.com.au; ’How Japan keeps COVID-19 under control’, (Martin Fritz), DM, 25-Mar-2020, www.dm.com].
Other cultural factors 
Other suppositions put forward to explain the Japanese success include the practice of inoculating young children with BCG vaccinations, which according to its advocates give Japanese people a basic immunity which helps their defence against coronavirus. Physiology was also cited as a factor in guarding against the disease, the low obesity of Japanese is thought to help, as is the Japanese diet (eg, natto, a soybean yoghurt, is thought to boost the immune system) [‘’From near disaster to success story: how Japan has tackled coronavirus’, (Justin McCurry), The Guardian, 23-May-2020, www.msn.com/; ‘Has Japan dodged the coronavirus bullet?’, Richard Carter & Natsuko Fuhue, Yahoo News, 14-May-2020, www.au.news.yahoo.com; Sturmer & Asada].
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(Photo: www..Forbes.com)
The “Diamond Princess”
In addition to all of the domestic factors hindering Japan’s fight against COVID-19, an external element exacerbating the early outbreak in Japan was the debacle of the “Diamond Princess” cruise ship. When the international ship docked at Yokohama in February, the Japanese authorities injudiciously prevented healthy passengers and crew on-board from disembarking during the quarantine – with no separation made between well and contaminated passengers, and no self-isolation of the sick! This led to a blow-out of virus contamination which eventually infected 712 passengers, creating the first big cluster of coronavirus outside of Wuhan [‘How lax rules and missed warnings led to Japan’s second coronavirus-hit cruise ship’, (Ju-Min Park), The Japan Times, 07-May-2020, www.japantimes.co.jp]
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A cautious reaction from politicians, one eye on the XXXII Olympiad?
Let’s look in detail at what Japan did – or didn’t do! When the disease first arrived, the government took a cautious approach to tackling the virus. Borders initially remained open and Chinese visitors were still allowed into the country in huge numbers, 89,000 came in February (after the first outbreak), which was on top of the 925,000 who visited during January! Prime Minister Abe came in for a lot of flak, some including a former PM, Yukio Hatoyama, accused him of holding off from going full-tilt against the pandemic so as to preserve the Tokyo Olympics event (Fritz). Critics railed against a lack of leadership  from the Abe government, criticising its failure to appoint anyone to take firm control of the crisis, and that those efforts to counter the virus were hamstrung by the multiplication of bureaucratic silos [‘A Japan divided over COVID-19 control’, (Hiromi Murakami), East Asia Forum, 08-Mar-2020, www.eastasiaforum.org].
Lockdown-lite, testing-lite
The Abe government’s belated state of emergency saw sport suspended and schools closed,  but overall only a partial lockdown was imposed, many businesses, restaurants were permitted to stay open, albeit with reduced hours. Citizens were asked to stay home but compliance was only on a voluntary basis, with no surveillance technology deployed and no punitive action taken against anyone failing to adhere to the government’s request.
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(Image: www.japantimes.co.jp)

Targeted testing
It was in testing that Japan adopted a very different crisis approach to most of the leading western countries. Rather than going for high volume, it deliberately tested under capacity. By mid-May it had tested a mere 0.185% of the country’s population, averaging two tests per 1,000 people, cf. Australia, >40 per 1,000 (Sturmer & Asada). It was highly selective, only those with serious virus symptoms were tested. The rationale for such a low-testing regime was concern for the capacity of widespread testing infrastructure, by limiting testing this would lighten the load on testing centres. Rather than mine-sweep the country with testing, the Japanese pursued a strategy of targeting virus clusters as they were identified to pinpoint the sources of the infection [‘Has Japan found a viable long-term strategy for the pandemic’, (Kazuto Suzuki), The Diplomat, 24-Apr-2020, www.thediplomat.com; Gramenz].
Consequently, Japanese medical experts concede that the official counts may be well short of the reality, which puts a rider on the country’s achievement. Even with a smaller number of cases Japan found itself lacking in IPUs (only five per 100,000 people cf. 35 in the US) , there was also a shortage of PPE as well as face masks which were rationed out only two per household (and derided as “Abe-no masks”). This calls into question the faith that the Japanese placed in the robustness of the nation’s health system [‘Japan’s Halfhearted Coronavirus Measures Are Working Anyway’, (William Sposato), Foreign Policy Magazine, 14-May-2020, www.foreignpolicy.com].
Self-complying social distancing?
Social distancing, a nightmare to try to enforce in people-dense Tokyo, was not a major focus for authorities. This was largely left to the goodwill of the individual, aided by some subtle social shaming – government workers walking through Tokyo nightlife areas with signs asking people to go home (Sposato). In any event the authorities’ measures were only partly effective – Japanese people continue to flock to the cherry blossom spring events in large numbers. Where social distancing was more manageable was in shutting off obvious potential hotspots, closed spaces with poor ventilation (karaoke clubs and pubs), crowded places with many people people in the immediate vicinity and other close, intimate contact settings (Suzuki).
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Cherry blossom time: no voluntary social distancing here (Photo: www.bloomberg.com)

Tokyo transport
Tokyo’s mass transit network is a petri dish in-waiting for coronavirus, but it appears that preventive measures (some pre-planned) have lessened the impact on public health. Tokyo business working hours have been staggered and large companies like NEC started to adopt telecommuting and teleworking, as well as a big increase of people riding bikes to work occurring. Consequently, transits at Tokyo’s central station on May 18th was down by 73% on the corresponding day in 2019 [‘Remote possibilities: Can every home in Japan become an office?’, (Alex Martin), The Japan Times, 23-May-2020, www.japantimes.co.jp]. 
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(Image: Getty Images/AFP. P Fong)
Most pundits and observers conclude that Japan, with its ageing population and all its drawbacks and encumbrances, has (so far) warded off the worst of the pandemic. With no “silver bullet” in sight, we are left to speculate whether that they have achieved this outcome by sheer good luck, by good judgement, by the personal habits and cultural traits (especially hygiene) of its citizens, or by a combination of all of the above (McCurry).
Endnote: Low tester, early starter
Another Asian country which has mirrored Japan’s pattern of choosing not to test in high volumes is Taiwan. The Taipei China republic, commencing measures to counter the virus as early as anyone did, had tested only 2,900 people per million of population (Worldometer, as at 20th May), but it’s mortality rate (deaths per million) was only 0.3 (total of seven deaths) compared to Japan which was 6.0 per million.
˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚˙˙˚
as at 25-May-2020
the largest metropolis prefecture in the world, around 14 million people
Japan’s health officials had themselves projected a worse-case scenario of up to 400,000 deaths (Gramenz)
to be fair, there are constitutional impediments in Japan that prevent the declaration of a full, European-style lockdown (McCurry)
a Kyodo news poll indicated that 57.5% of people were unhappy with the government’s handling of the emergency. In so far as Japanese people have given credit to the success, it has gone to medical experts for efficiently managing Japan’s cluster tracing and containment efforts, rather than to Abe who many view with distrust based on its past track record [‘Time to Give Japan Credit for its COVID-19 Response’, (Rob Fahey & Paul Nadeau), Tokyo Review, 18-May-2020, www.tokyoreview.net]

The Kerala COVID-19 Template: How to Lead in the Fight against a Pandemic

When the coronavirus pandemic eventually reached India, it was always going to pose a challenge of epic proportions for a country of 1.3+ billion people, with such a dense population domiciled  in such close quarters, and with a widespread underbelly of poverty. The Spanish flu of 1918 inflicted a death toll on India in the many millions, something no doubt in the back of the minds of public health officials. So, two or three months into the crisis, on paper, India’s COVID-19 record, on paper, doesn’t look as frightening as many other nations. As at 17-May-2020, so far it has had a shade under 91 thousand confirmed cases and a total of 2,872 deaths (www.worldometers.info).

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(Photo: Indranil Mukherjee / Agence France-Presse – Getty Images)

There is a perception within medical circles however that these figures don’t portray the full extent of the outbreak. India’s urban areas are packed with masses of people living face to face, beset with poor sanitation conditions, up to 100 people sharing the same toilet in some cases, adding up to a recipe for catastrophe in plague time. Obtaining a test for coronavirus in India has tended to not be straightforward, thus the level of testing has lagged woefully behind what is desirable, eg, by well into March India was averaging only five tests per ten lakhs (one million) people, compared with South Korea which had managed 4,800 per ten lakhs.

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Too many migrant workers waiting for too few buses to take them home after the lockdown was announced (Photo: Yawar Nazir – Getty Images)

Containment measures have been far short of perfect, and with some glaring omissions…there has been passive resistance to the lockdowns from sceptical Indians, and the ban on public gatherings has from time to time been skirted round (some ‘scofflaw’ political parties continue to hold mass rallies). Although India’s borders were closed fairly promptly, some have been critical of the procrastination of Indian leaders’ during the crucial early days of the crisis, one Indian epidemiologist characterised it as a “let’s wait till tomorrow” attitude [‘India Scrambles to Escape a Coronavirus Crisis. So Far It’s Working’, (J Gettleman, S Raj, KD Singh & K Schultz), New York Times, 17-March-2020, www.nytimes.com]. This early reticence to act emanated from Delhi. The Modi BJP government, initially seemingly more concerned with the impact on India’s under-performing economy, issued no public health warnings or media briefings at the onset of the pandemic [‘What the world can learn from Kerala about how to fight covid-19’, (Sonia Faleiro), MIT Technology Review, 13-Apr-2020, www.technologyreview.com].

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(www.anayahotels.com)

Kerala, leading from the periphery
Kerala is one state that these general criticisms of Indian public health efforts against COVID-19 cannot be levelled. The small southwestern Indian state is one of the most picturesque parts of the land with its coconut trees and irenic and serene back-waterways. Known as a tourist mecca, Kerala, population 35 million, is more affluent than many parts of India (GDP per capital GB£2,200). 20% of India’s gold is consumed here, and it produces over 90% of the country’s rubber. Literacy is nearly 20% higher than the overall Indian average, and life expectancy too, is higher (www.holidify.com). All of these were contributing factors buttressing Kerala’s capacity to cope with the disease when it came.

Local vulnerabilities to the epidemic
Kerala was coronavirus “ground zero” for India’s very first patients. Three students returning from Wuhan were tested positive and hospitalised (in all 70% of the state’s total virus patients have come from outside India). Certain preconditions pertaining to the state exacerbated the risk of disease outbreak, including a large number of Keralite migrant workers in the Gulf states, a huge expat population (working in Kerala from other Indian states), porous borders, and an early summer monsoon season (contributing to Kerala’s high rate of annual communicable diseases) [‘Coronavirus: How India’s Kerala state flattened the curve’, (Soutik Biswas), BBC News, 16-Apr-2020, www.bbcnews.com].

Preparation and planning
Kerala was prepared for COVID-19 before the onset of the disease. The earlier Nipah viral outbreak (NiV) In Kerala (2018) proved a good trial run for the health service, giving the local authorities an opportunity to iron out chinks in it. Kerala’s communist-left coalition  government had established a strong social welfare foundation, investing in the state’s infrastructure with a focus on health and education, and on tackling the state’s poverty. [‘How the Indian State of Kerala flattened the coronavirus curve’, (Oommen C Kurian), Guardian,  21-Apr-2020, www.theguardian.com].

Minister Shailaja (Source: www.manoramonline.com)

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Shailaja ‘Teacher’, a woman with a plan
When the epidemic arrived in Kerala, the proactive state health minister KK Shailaja took charge. With the full backing of Kerala chief minister, Pinarayi Vijayan, she had already organised a rapid response team to focus on targeted clusters, and liaised with the provincial councils. Kerala adopted the WHO protocols of test, trace, isolate and support. Rigorous contact tracing was employed, utilising detailed “route maps”. Testing of suspected carriers was decisive, with a quick, 48-hour turnaround of the result [‘Kerala has best coronavirus test rate in the country, but is it enough?’, (Vishnu Varna), The Indian Express, 01-Apr-2020, www.indianexpress.com], allowing them to move quickly on to the quarantine phase. 17,000 people were quarantined under strict surveillance, the poor without quarantine facilities were placed in improvised isolation. Recovered patients were duly released back into the community. Quarantine compliance was achieved through an admixture of phone monitoring (>340,000 calls and a neighbourhood watch system [‘The coronavirus slayer! How Kerala’s rock star health minister helped save it from Covid-19’, (Laura Spinney), The Guardian, 14-May-2020, www.theguardian.com; Kurian].

One of the sternest challenges, very early on, came from the district of Pathanamthitta. A family returning from Italy tested positive, but refused to disclose their movements upon return to Kerala. The civil servant in charge of the district, PB Nooh, and his team, worked round this obstacle by accessing the family’s GPS phone data, allowing them to trace all of their contacts (almost 300 people!). Nooh’s staff then tested the contacts for infection, thus shutting down the risk of the virus being exponentially transmitted to others in the community, ie, “breaking the chain” (Faleiro).

The coronavirus certainly didn’t miss Kerala, one-fifth of all Indian cases of the disease have occurred in the state. Under Shailaja, Kerala hit the ground running, before the end of January, screenings of arrivals at all four of the state’s international airports was introduced. The government imposed a lockdown even before the national lockdown was called…schools, malls, cinemas, public gatherings, were closed down, and the lockdown was stricter and longer than the national one (Kurian). Face masks were distributed to slum dwellers. Planning was precise and focused, a state stimulus package of Rs20,000 crore was directed towards the economic and medical crises.The medical task force was mobilised (doctors on leave were recalled, others asked to delay their leave). Those suffering hardship included migrant workers from other states were provided with free lunches by the state.

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Communication with citizens informing them about all aspects of the crisis was clear and consistent (“Break the Chain” campaign which emphasises public and personal hygiene). Accordingly, community participation, both voluntary and active, was forthcoming. Some Keralites made accommodation available (including vacant homes in some instances) to those in need when requested to by the government [‘The Kerala Way of Tackling a Pandemic’, Times of India, 20-Mar-2020, www.timesofindia.com].

The Kerala government’s campaign against the virus has been aided by the polity’s decentralised nature of it’s structures. The coordination achieved allows the local councils to follow through on a lot of the public health measures needed to be implemented in the crisis (Biswas). The result of all this detailed planning and effort by Kerala – 587 confirmed cases and only four deaths and apparently no significant community transmissions (17-Apr-2020).

The state of Kerala and Shailaja ‘Teacher’ (so known because her occupation before entering politics was that of science teacher) are not resting on their laurels, being very mindful of the chance of a second wave of COVID-19 due to impending factors—Prime Minister Modi’s anticipated ending of the national lockdown, which will trigger a mass return of Kerala’s migrant workers based in the Gulf, and the approach of the tropical wet season in Kerala (June) [‘Kerala Lays Down Specific Plans To Tackle Monsoon Amid COVID-19 Pandemic’, NDTV, 15-May-2020, www.ndtv.com]. Minister Shaijala has been making preparations for such an event, many of the state’s teachers have been retrained as nurses to cope with a new upsurge in virus hotspots (Spinney).

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EndNote: No time for Kerala complacency but a most worthy blueprint on offer 
The threat of new clusters emerging in Kerala remains very real, especially coming from outside, with a spike as recent as this past Friday—imported from neighbouring Tamil Nadu and Maharashtra as well as from overseas—reminding Shailaja and Co that the battle’s still far from won. Nonetheless, for elsewhere in India and beyond, there are lessons from Kerala‘s formidable achievement to be had from the state’s “nimble-footed, community-oriented, cautiously-aggressive approach” to the outbreak [Kurian; ‘Kerala reports 11 new Covid-19 cases’, (Ramesh Babu), Hindustan Times,16-May-2020, www.hindustantimes.com].

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the Kerala government is Marxist in ideology but pragmatic in practice, it’s policies are moderately social-democratic, with a highly-privatised public health system (Kurian)

The Animal World and Coronavirus: The Puzzling Question of Interspecies Transmission and Animals Invading Human Space

 

(Source: (www.wwf.org.uk)

We all know that those much maligned flying mammals, the bats, were at the centre of the COVID-19 outbreak. With definitive evidence still proving elusive however, the jigsaw is still incomplete. Did the bats, as some experts hypothesise, transmit the disease directly to humans? Or did bats tag-team with an intermediary host—the keratin-armoured pangolin is the most likely suspect for some other experts—who in turn transmitted the infection to humans? The non-experts on the other hand, particularly those in the vicinity of 1600 Pennsylvania Avenue, cling to an alternative view which sees the coronavirus escaping, either accidentally or deliberately, from a biotech lab in Wuhan – a theory that does not entirely let the much-besmirched bat off the hook as the lab was known to be experimenting with the creatures.

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How have other animals, the ones not blamed for the virus outbreak, fared in the time of pandemic? One of the most intriguing developments first reported back in March (seems a long time ago now!) is the curious phenomena of human-to-animal transmission of the virus…a case of the humans fighting back? The Bronx Zoo in New York, in the midst of all the human carnage triggered by the outbreak, reported that nine of their non-human residents had tested positive for COVID-19. Five tigers and four lions—including the animal world’s patient zero”, a Malayan tiger called Nadia—apparently contracted the disease from an asymptomatic handler. The zoo was closed to the public on 16th March (‘Seven more cats tests positive for coronavirus at Bronx Zoo’, (Natasha Daly), National Geographic,  22-Apr-2020, www.nationalgeographic.com). Since then, some domestic cats and dogs (in Kong Kong and Belgium) have also tested positive for the disease. Veterinarians have said that all of the affected Bronx Zoo felines were expected to recover.

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Unfortunately there are concerns for other members of the Felidae family in the US from the novel coronavirus. This involves a bunch (an ‘ambush’?) of tigers at the Greater Wynnewood Exotic Animal Park in Oklahoma. The Tiger King” zoo, formerly owned by the notorious, and now imprisoned, “Joe Exotic”, recently reopened after the lifting of pandemic precautions. Visitors are now being offered the chance to participate in (pricey) tiger cub petting sessions and the punters are doing so in droves, all day, raising concerns after the Bronx outbreak that the operators are placing the baby felines in distinct danger of the virus (as well as upping the contagion risks for the huge crowds of humans attending) (‘Tigers, humans at risk for coronavirus as ‘Tiger King’ zoo reopens’, (Teresa Bergen), Inhabitat, 12-May-2020, www.inhabitat.com).

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(Photo: Getty Images)

The pandemic has resulted in a very different, “feel-good” story concerning the world’s fauna. Twitter is awash with videos of animal sightings in unexpected places. City centres, once teeming with tourists and vendors, are now massively de-peopled due to the lockdowns. These instant “ghost towns” have not gone overlooked in the animal kingdom. All manner of wild fauna have swarmed in to claim the run of the towns, and almost certainly driven to do so in search of food. We have seen penguins waddling through empty Cape Town streets, coyotes roaming through a largely deserted San Francisco, wild boars taking over the Centro of Barcelona and the streets of Bergamo, Italy (probably not the same wild boars), Kashmiri mountain goats nonchalantly strolling through Llandudno (where?) in Wales, and so on and so on (‘Wild Animals have taken over the streets of major cities because of the coronavirus’, (Chris Ciaccia), Fox News , 03-Apr-2020, www.foxnespws.com).

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Siberian husky visits Beluga whale  

(Photo: www.wtnh.com)

The most touching coronavirus animal story is the upside from the closure of zoos and aquariums – the opportunity for new animal interactions. During the enforced downtime some zoos are allowing non-dangerous animals (including visits from shelter animals) to roam around the enclosure, coming face-to-glass with other animal inhabitants (‘While aquariums are closed amid the coronavirus, animals get to play.” (Joshua Bote), USA Today News, 04-Apr-2020, www.usatoday.com).

While many zoo residents have experienced loneliness with the disappearance of human visitors, Hong Kong Zoo’s giant panda couple luxuriated in the new privacy so much that they overcame their typical reticence and mated for the first time in a decade (‘Two pandas tried to mate for a decade. With the zoo closed due to coronavirus, they finally did it’, (RW Miller), USA Today News, 08-Apr-2020, www.usatoday.com) 

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(Photo: Antony Dickson, AFP/Getty Images)

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cross-contamination back to humans from the tigers has been ruled out by medical experts

✴  some of the alleged sightings of animals have turned out to be bogus claims, such as the myth of Russian President Putin unleashing 500 lions onto Russian streets to ensure people observed lockdown

Life on Planet Covid-19: Sometimes a Wacky Notion, a Glimpse into the Bizarre in the Time of Coronavirus

The Coronavirus outbreak has brought out both the good and bad in human nature, but as everyone tries with varying success to cope with the strange and new reality of lockdowns, closures, social distancing and restrictions on movement, it has brought out the downright weird and bizarre as well.  In 1929 when Wall Street collapsed, triggering the Great Depression and a devaluing of the money currency, there was a run on the banks as people desperately tried to salvage their evaporating savings. In March when people in the ‘burbs heard the pandemic was not likely to go away any time soon, there was a run on the supermarkets, efficiently stripping the shelves bare (like locusts in a corn field) – of toilet paper! Somehow, the crux of what is needed for civilisation to sustain itself during an enforced hibernation has been reduced to this, apparently now the most precious of household commodities in a lockdown survival strategy. Widely circulated media footage of shoppers coming to blows in supermarket aisles over the providence of a single roll of loo paper and profiteering hoarders trying to flog bog rolls on eBay at an insane $100 a shot, is surely proof of the arrival of a new and dynamic currency (what price the toilet roll futures market?).
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(Source. www.mix1023.com.au)
Once the epidemic got in full swing, the demand for face masks, especially in those countries with a culture of wearing protective masks, quickly outstripped supply. Accordingly some people have resorted to ‘improv’, mask substitutes – scarves and bandanas, face shield visors and so on. Sometimes people are a bit creative, eg, converted bras, vacuum bag filters, and sometimes grossly inappropriate (and utterly gross) or bizarrely impractical.
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KKK hood shopper, an injudicious choice of replacement for a face mask, San Diego, Ca. (Image: Tiam Tellez (FB))
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A comfy 15L plastic bottle-head in lieu of face mask (Source: www.dailystar.co.uk) 
Agencies tasked with enforcement all over the world struggle to come to grips with the need to make everyone social distance. India’s efforts at least have resulted in some comical outcomes (light relief perhaps from all the descending gloom). In India’s west coast tourist spots, foreigners found at the beach by local police have been forced to write out apologies 500 times for breaching the stay-at-home rules. Elsewhere, in southern India, in one village the mandated use of umbrellas outside (in any weather) is the prescribed method for enforcing social distancing.
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(Photo: Hindustan Times, source: UGC)
Meanwhile, officials in the Swedish city of Lund, confronted with the Herculean task of stopping the multitudes ignoring voluntary social distancing guidelines, have gone for the unorthodox! To discourage people from crowding together in outdoor recreational areas, a frustrated Lunds Kommun (city council) has resorted to the somewhat “left-field” measure of dumping chicken manure all over the city’s main park.
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(Source: www.internewscast.com)
Has any other natural or unnatural phenomenon ever inspired such an array of whacky bizarre headlines (a la “Ripley’s believe-or-not!”) as this minuscule spiky particle pathogen has? In an atmosphere heightened by anxieties over a sense of that which we cannot control, “miracle cures” have saturated social media channels, everything from Llama Antibodies Could Help Scientists Stop the Coronavirus Pandemic? to Does JK Rowling’s breathing technique cure the coronavirus? to Colloidal silver toothpaste will fix your Covid virus. Then there’s the “contributions to the debate” from the White House, a kaleidoscope of quack cures being incredulously recycled by “The Donald” who continues to be in the thrall of non-scientists sprouting convenient opinion to him (“UV light and disinfectant injections killing the virus inside human bodies”, “hydroxychloroquine and bleach“,  etc). The Covid-19 pandemic has been somatotropin for conspiracy theorising, with no handbrake applied to how asinine they can get…the 5G network is an ‘accelerator’ of coronavirus; Bill Gates Foundation’s COVID-19 Vaccine is a Satanic Plot; Not a pandemic but a plan-demic; Coronavirus hoax is an Agenda 21 plot to microchip us; etc. ad nauseum. (‘Miracle ‘coronavirus cures’ haven’t changed in 700 years’, (Jennifer Wright), New York Post, 18-Apr-2020, www.nypost.com).
Suspicious-looking 5G mobile towers 
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PostScript: the coronavirus crisis leads to some surprising scenarios. A report on a news bulletin a couple of weeks ago disclosed the trials of tribulations the super rich have had to endure at this time. Because of social distancing measures, many of society’s wealthy burghers have for safety concerns dispensed with the services of their house maids and auxiliary staff. This has resulted in grievous  inconvenience and vexation for the plutocrats as they are now forced to learn for themselves how to use washing machines and other appliances in their palatial homes…ahh, those eternal First World problems – they just never let up.
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when Covid-19 first hit the US, eight of the eleven states in which cannabis is legal, declared ongoing access to the narcotic an essential service for medicinal and recreational users. This prompted, in microcosm, a similar run to that on toilet paper, on marijuana outlets by aficionados of the weed. Consumers flocked to their local dispensers to stock up on essential ‘pot’ for the long, hard days of confinement ahead. This panic-buying of cannabis led some with a vested interest in the industry to talk up the prospects of a medicinal marijuana-led recovery of the US economy once the cloud of coronavirus disperses (‘Aurora Cannabis and Tilray set to detail hoarding of marijuana during COVID-19’, (Max A Cherney), Market Watch, 09-May-2020, www.marketwatch.com
plucking supposed panaceas out of the ether in time of pandemic has been ever thus…in the Black Plague they tried onions to ward off the disease, in the coronavirus crisis the equivalent recommendation is garlic (same degree of effectiveness)
 the authors of these expressions of coronavirus denial, once thought largely confined to the United States, are spreading to different parts of the world, ironically enough, like a virus in themselves. They are drawn from different groups of society—anti-vaxxers, 5G truthers, sovereign citizens, QAnon believers and other Alt-Right, fringe conspiracy theorists—that have through ”cross-pollination” of their beliefs, converged into “a virulent if not entirely coherent umbrella movement against coronavirus lockdown measures“ (’Why Are Australians Chanting “Arrest Bill Gates” At Protests? This Wild Facebook Group Has The Answers’, (Cameron Wilson), BuzzFeed, 11-May-2020, www.buzzfeednews.com.au)

Two Antithetical Approaches to the COVID-19 Crisis: A Controversial Outlier Versus a Low-key Over-achiever

When a novel virus comes along, such as we are facing now, there is no medical vade mecum, no universal guidebook to follow, no one proven route to safely navigate the crisis. Governments weigh up the choices, then in consultation with medical experts, decide on a strategy and do modelling on how to chart the optimal course through the unpredictable straits of COVID-19. Local factors in each country, the conditions, the capacity to respond, the culture, all shape what direction the fight against the virus takes.

The following focuses on just two of the 212 countries and territories which have reported cases of the novel coronavirus disease. The two countries, Sweden and Vietnam, have very different societies, cultures and political systems. Each has followed its own distinct strategy and have produced results that are polarities apart from each other.
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🇸🇪 Sweden
One thing you can’t accuse the home of ABBA and Ingmar Bergman of is sheepishly following the flock. While countries like the US and the UK ‘sleepwalked’ for precious weeks at the start of the crisis, Sweden went out on a limb. From the get-go, Sweden identified itself as an outlier, a contrarian country in the coronavirus war. It adopted a particular course and implemented it. Or to put it another way, Sweden opted for a “change very little”,  “wait and see” position, which amounts in effect to the pursuit of a “herd (or community) immunity” approach. Put simply it means you intentionally expose as many people as possible in the community to infection and so (the theory goes) the majority become immune to the virus. It’s effectiveness hinges on (quickly) minimising the number of high-risk people overall. For it to work, there needs to be an infection rate of at least 60%. Critics of herd immunity, and there are many in both the medical and non-medical world, describe it, among other things, as a “let it rip” strategy.

Getting back to Sweden’s experience, the Social Democrat government under Stefan Lofven, and state epidemiologist Anders Tegnell, were at the outset confident of success with a “let it happen ASAP” approach. Sweden stopped organised sporting fixtures and closed university buildings but it eschewed a strategy of mandatory lockdowns (restaurants, bars, cafes and schools for pupils under 16 all stayed open) for a libertarian-like “principle of responsibility”, trusting the Swedish populace to “behave like adults” and do the right thing voluntarily.

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The figures tell a different and disconcerting story: Sweden with a population of just 10.33 million has a reported Covid death toll of 3,225 (as at 10-May-2020) – with capital Stockholm overwhelmingly the primary hotspot. As illustrated below, compared to it’s Nordic neighbours Sweden’s mortality figures resonate like a distress beacon in the ocean, and in per capita terms it even outstrips the horrendous, spiralling toll of the US.

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The mortality rate for Sweden has prompted even the Swedish chief medical scientist Dr Tegnell to comment that it is now a “horrifying large number” [‘Sweden’s near “horrifying” death toll of 3,000 from coronavirus with 87 new fatalities, including a child under ten’, (Ross Ibbotson), Daily Mail (UK), 07-May-2020, www.dailymail.co.uk]. The body responsible, the Swedish Public Health Agency has come under mounting pressure (increasingly internal) for the current situation. A group of 22 scientific researchers from Swedish universities and institutes have called on the SPHA for a rethink of the strategy and a more cautious approach [‘Sweden: 22 Scientists Say Coronavirus Strategy Has Failed’, (David Nikel), Forbes, 14-Apr-2020, www.forbes.com].

A consequence of “granny-killer metrics”  
A leading molecular virologist from Sweden’s Karolinska Insitutet has accused the government of taking unnecessary risks and sacrificing the elderly (half of the total deaths are from aged care homes), as well as placing the health of their carers and hospital workers in jeopardy [‘Sweden urged to reconsider controversial coronavirus advice as infections rise sharply’, (John Varga), Express, 07-May-2020, www.express.co.uk].

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A Stockholm bar: elbow distancing only

Defending the hard to defend
The Swedish authorities have tried to defend its strategy—citing dramatic drops in the use of public transport and a survey which the agencies conclude is evidence that people are practicing safe distancing from each other during the crisis (Ibbotson)—unfortunately the visual evidence from photos and videos within Sweden suggests otherwise with crowded restaurants, bars and parks still the norm and few people seeming to be social distancing. So far, the government for the most part is holding the line and appears to be committed to the long haul, although they have now given some ground, banning outdoor gatherings of more than 50 (Nikel).

There are some outside observers who still take a sanguine view of outlier Sweden’s methods of dealing with the crisis. Stanford School of Medicine (US) professor, Michael Levitt, has been critical of other countries with a different approach, the so-called “first mover” countries like Australia, Austria, New Zealand, Denmark, Czech Republic, Israel and Greece, who he says have paid too heavy a price for locking down their communities – resulting in severe damage to their economies, social upheaval, the loss of an academic year for students, and still having not attained herd immunity [‘Granny-killer metrics don’t add up in Australia’s costly coronavirus battle’, (Andrew Probyn), ABC News, 08-May-2020, www.abcnews.com.au]. No doubt the decision-makers in Sweden would find this external support comforting, and of course Sweden could turn around and say to the growing number of doubters that it’s approach is keeping people in jobs, keeping businesses from closing down, and the economy afloat … but at what a human cost! This is the Solomonic trade-off.

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(Source: www.irishtimes.com)

Update since originally published(information updated to 21-May-2020) SWEDEN has overtaken the UK, Italy and Belgium to record the highest coronavirus per capita death rate in the world. Sweden has recorded 6.08 deaths per million inhabitants, higher than the UK, USA and Italy (www.express.co.uk/).

~

🇻🇳 Vietnam
With international media attention on the COVID-19 dilemma focused largely on the US and the Eurocentric world, the efforts of Vietnam in the war against coronavirus has garnered little notice till recently. Many observers would be surprised to discover that the South-East Asian country has had zero recorded deaths from the virus, out of a total of 288 confirmed cases (10-May-2020). Surprising…for a few reasons. First, it seems a bona fide claim, unlike some of it’s S.E. Asian neighbours who claim also to have done well with little to substantiate it. As a general rule, S.E. Asian numbers, even more so African numbers, are often problematic as there has been an inadequate amount of testing carried out to gauge progress accurately.

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(Photo: AP)

Second, Vietnam shares a (northern) border with China, the country of coronavirus origin, plus in normal times Vietnam is a busy destination with frequent international flights from nearby Taiwan, Hong Kong and China itself, leaving it, one would think, quite susceptible to to the importation of the infection. Third, Vietnam has an estimated 97 million people but for a medical emergency of this magnitude it lacks the allocatable resources and health infrastructure of the more economically dynamic Asian states. It simply can’t afford to engage in the level of mass testing that say South Korea has managed [‘Vietnam shows how you can contain COVID-19 with limited resources’, (Sean Fleming), World Economic Forum, 30-Mar-2020, www.weforum.org].

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Why has Vietnam done so well in the war against the “invisible enemy”?
Part of the explanation is that Vietnam has approached the crisis very much like a military campaign. In fact war rhetoric has been employed by the government, which constantly speaks of “fighting the enemy”.  The country’s response was early and proactive, border closures, rigorous mass quarantines of whole towns for weeks, were implemented up front, not just as a last resort like some places elsewhere [‘How Vietnam is winning its “war” on coronavirus’, (Rodion Ebbighausen), DW, 16-Apr-2020, www.dw.com]. The authorities conducted targeted testing and thorough contact-tracing procedures. To compensate for the country’s limited resources they created low-cost test kits for wide distribution (“70-minute rapid test kits”).

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“Rice ATMs” initiative: Made available 24/7 to Vietnamese people during the time of pandemic  
(Photo:
www.vietnamnet.vn)

An ingrained culture of compliance 
The key to what Vietnam has achieved is the central government’s ability to secure almost universal integration into the fight against the disease. Communist Vietnam’s authoritarian one-party state structure with a highly organised army and security apparatus makes this task more easily obtainable (whereas in a liberal society where plurality is the norm this would be nigh on impossible). The regime can much more easily mobilise the people to adhere to it’s rules and restrictions…there is a prevailing culture of compliance, and a range of effective mechanisms in the hands of Hanoi to attain that compliance. The government-controlled media and the high numbers of Vietnamese people exposed  to social media have facilitated this. Apps have been a standard part of the public information campaign to get the government message out –  and the degree of transparency about COVID-19 and the government’s plan to counter-attack it, has raised public confidence and made it more receptive to what Hanoi is saying   [‘The Secret to Vietnam’s COVID-19 Response Success’, (Minh Vu & Bich T Tran), The Diplomat, 18-Apr-2020, www.thediplomat.com].

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The government has called on a raft of idiosyncratically-Vietnamese cultural devices to creatively drive home it’s theme. ”Viral hand-washing” songs have been popularised among the people and most effectively, the regime have resorted to propaganda art, something with a long tradition in communist Vietnam. Calling on the familiar slogan, “In war, we draw” (again, invoking the war metaphor), the government has fostered a patriotic response in Vietnamese to get 100% behind the war on the virus (#TogetherWeWillWin), resulting in the production and dissemination of visually-powerful and meaningful posters like these two (above and below). COVID-19 has also prompted the release of special stamps to help unify the Vietnamese people [‘“In a war, we draw”: Vietnam’s artists joint fight against Covid-19’, (Chris Humphrey), The Guardian, 09-Apr-2020, www.theguardian.com; Fleming].

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Coercion and collaboration
Another side of Vietnam’s use of “soft power” to get everyone thinking as one can be seen at work in the coronavirus emergency. The socialist ethos in Vietnam operates on one level as a “surveillance state“…ordinary Vietnamese are conditioned, not just to obey rules, but to help the authoritarian regime’s realisation of it’s goals by spying on neighbours and reporting back to the authorities the activities of non-conformists or of anyone breaching the public health regulations (Humphrey).

Notwithstanding this further encroachment on civil liberties, the Vietnamese people as a whole, having accepted the seriousness of Hanoi’s fight against coronavirus, are on board, and appear genuinely proud of their country’s success in avoiding thus far any serious outbreak of the epidemic in a country with a healthcare system woefully ill-equipped to deal with harmful effects on it’s large population (Ebbighausen).

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The Vietnamese achievement, having been successful so far in keeping a lid on the epidemic, might lead it’s citizens to feel or at least hope that they are out of the woods. But even if they are in the clearing now, there’s another forest looming largely in the shape of the economy, which of course is another matter entirely. Over 85% of Vietnam’s enterprises have been adversely effected by the crisis. Tourism, which Vietnam like so many is highly dependent on,  could be looking at a loss of $US3 to $US4 Bn in 2020, and so on down the line of the country’s businesses. At the moment business leaders in Vietnam are preoccupied with exploring new economic opportunity that may arise for the country post-crisis [‘Vietnam is set to lose billions due to coronavirus, and it’s already feeling the impact of the deadly outbreak’, (Kate Taylor), Business Insider Australia, 25-Feb-2020, www.businessinsider.com.au].


EndNotePeering inside that can of worms
The UK Johnson government initially toyed with the idea of going the herd immunity route, before being awakened to it’s senses by a vociferous chorus of British medical experts recounting the dire ramifications of such a gamble. After chief epidemiologist Prof Neil Ferguson did some remodelling, the UK government (belatedly) switched to a suppression approach. The Netherlands in March announced it would follow Sweden’s strategy but the Dutch prime minister then walked back the herd immunity line, opting instead for what has been described as “lockdown light” [‘Caught Between Herd Immunity And National Lockdown, The Netherlands Hard Hit Bt Covid-19 (Update)’, (Joshua Cohen), Forbes, 27-Mar-2020, www.forbes.com]

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 the medical critics would be quick to point out that, if herd immunity can’t be accomplished by vaccination (and there is no vaccine for coronavirus yet, not even on the horizon), then it is an extremely risky business to dabble in. It puts the old and vulnerable into the position of sacrificial pawns for the greater good; it can also expose a country’s health-care system to intolerable demands on its resources (not to neglect the heightened personal danger for nursing staff and medics); a third drawback with the approach is that mortality from coronavirus is a reality for the under 70s and under 60s as well

 in an implicit admission of a failure of it’s voluntary compliance arrangements, Sweden announced recently that it would close bars and restaurants which flaunted the social distancing guidelines [‘Sweden is shutting down bars and restaurants where people defied social distancing guidelines’, (Kelly McLaughlin), Business Insider, 28-Apr-2020, www.businessinsider.com]

like Myanmar for instance which admits to only six deaths from the virus. A population of 55 million, according to a World Bank estimate it has only 249 ventilators in the whole country. The Myanmar regime’s lack of transparency, the sheer logistics of trying to safely social distances and the attribution of it’s very low fatality level to the country’s diet and lifestyle, cast more than reasonable doubts on the true extent of the epidemic in the republic [‘Zara’s Billionaire Owner Was Praised For Helping in the Coronavirus Crisis. Workers In Myanmar Paid the Price’, (Nishita Jha), BuzzFeed News, 07-May-2020, www.buzzfeed.com]

Pandemic Pastimes: Armchair Epidemiology 101 – Curiouser and Curiouser

BC48FDE2-4DF8-4771-9E1B-C1F7C0F2963CFor most of us the coronavirus crisis is, if not all-consuming, at the front and centre of just about everything at the moment. This pandemic, this pandemocracy, is all over social media, and one of the most curious by-products is how the emergence of this novel virus has spawned a novel social media and sociological phenomena called the armchair epidemiologist… instant experts with their own special take on how COVID-19 should be handled, what it’s all really about, the whole thing de-mystified and unravelled in a nutshell. As you will see below, it is unfortunate at this pivotal moment that the practice of responsible social distancing hasn’t always been matched by the practice of responsible social media distancing.
29CD1A1A-6CD9-403A-B9C0-DA10957DA4D9Why is armchair epidemiology a burgeoning sub-industry at the moment? One general explanation lies in the character of the pandemic itself. It’s a troubling time right across the globe, people are naturally anxious about the disease—especially if you are unlucky enough to be living in a country that is one of the major hotspots at the moment—so talking about it can be a calming mechanism of sorts, working it all out in your head so it makes sense. As Noah Feldman neatly puts it, “one way for humans to cope with anxiety is to seek rational mastery over observable phenomena”. This becomes doubly the case in this situation because of the nature of this particular ‘beast’. The lack of “concrete empirical data” on the disease, the shortcomings in the science as it stands now, means that even amongst the genuine experts, uncertainty reigns (‘Will the Armchair Coronavirus Experts Please Sit Down’, Noah Feldman, Bloomberg: Opinion, 25-Mar-2020).  The experts have disagreed over which is the correct strategy to follow in the fight to contain the virus, what works, what doesn’t, full lockdowns, “let it rip” herd immunity, whether or not to use face masks, etc. Add to this the questionable way some countries have handled their outbreaks—eg, the slowness of for instance Italy, the US and Britain to take decisive steps in the early phase of the pandemic—the result, a critical failure to get on top of COVID-19 before the curve took off on it’s rapid skyward trajectory. Into this void the amateur epidemiologists have been only too happy to step.
BBFEF828-0542-42ED-992E-8C9D7E26485FMandatory hibernation: Too much time on their hands? Of course another reason for the house-bound commentariat directing its focus and energies towards the COVID-19 debate, could be sheer boredom. There’s only so much time on any given ‘Groundhog’ day you can spend bingeing on modish, ”must see” television series before you start to suffer mental fatigue and withdrawal symptoms.
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(Image: www.rfclipart.com)
Another explanation of Feldman’s that I am taken with is armchair epidemiology expert as a substitute for armchair sport expert. The suburban “Weekend Norms” of the world ritually delight in analysing the games of football and other sports they watch on the ‘box’ and on Fox,  but courtesy of the pandemic the sporting calendar is denuded, the presence of live sport on our screens is already a fading memory. The average punter, Feldman suggests, may simply, by necessity, have switched from analysing sport to analysing the coronavirus phenomena (the only game in town!).
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(Image: www.geneticliteracyproject.org)
Some observers of the armchair epidemiology contagion have noted an element of the Dunning-Kruger Effect at work here – “a cognitive bias in which people overestimate their knowledge or ability in a specific domain” (‘Psychology Today’). This contends that someone’s legitimate expertise in another field “gives them a false sense that their speculation and predictive powers are more informed” than the general person…and thus in this time of global upheaval, they don’t hold back in telling everyone  (‘Elon Musk is the Ultimate Armchair Epidemiologist’, Alex Lauer, Inside Hook, 01-May-2020, www.insidehook.com). Tim Requarth’s example are certain Silicon Valley “data wonks” who have produced “superficially convincing but flawed epidemiological analyses” and “sweeping predictions” of the pandemic to arrive at a conclusion that the emergency restrictions are an overreaction, contradicting the advice of public health experts. The criticism of much of the amateur epidemiology indulged in by non-public health professionals is that they tend to throw data round randomly, get the basic principles skew-whiff and make faulty assumptions. Spare us from the “good intentions” of a plague of DK-19 experts!  (‘Please, Let’s Stop the Epidemic of Armchair Epidemiology’, Tim Requarth, Slate, 26-Mar-2020, www.slate.com).
 
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⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗⥗
 or perhaps, like President Trump, they just don’t trust experts, medical or otherwise
 described by one cynic as “people lacking the ability to understand their lack of ability”
 

Not Missing the Human Touch: Robots Stepping Up in the Time of COVID-19

 

Intelligent design, AI, artificial humanoids, bionic life, androids, cyborgs, have all moved outside of the cloistered environment of the lab and the science fiction genre and are all embracing the day-to-day functions of human existence. Well, perhaps not all of these products of imagination and creativity – but with the restrictions placed on human communication in the all–enveloping cloud of the coronavirus crisis, automatons are the new “white knights” coming to the rescue (or relief) of humans.

The sudden emergence of the pandemic has propelled Medtech companies into the war on COVID-19. Drones as well as robots are being enlisted in the fight, taking the load off medical professionals and health care systems. Delivery robots are used as a way of circumventing the danger of human-to-human contagion. UVD robots are employed to kill viruses and bacteria in rooms to avoid the need for human involvement [‘Robots And Drones Are Now Used To Fight COVID-19’, (Bernard Marr), Forbes, 18-Mar-2020, www.forbes.com].

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‘Xenex’ Germ-zapping robots (CBS News)

As healthcare experts and governments search for the optimum strategy to contain and suppress the coronavirus outbreak, other intelligent humans are finding new applications and roles for intelligent non-humans in the health emergency crisis. It starts, appropriately enough for a public health disaster, at the medical coal face, in the ICU wards where doctors and nurses have been overwhelmed, physically and emotionally, with the skyrocketing workload of coronavirus-affected patients. In Lombardy in northern Italy, one of the first hotspots of the pandemic outside of China, six robot nurses have been fast-tracked into hospital service in Varese where they help lighten the human nurses’ face-to-face load and reduce their risk of personal infection. The robots man the wards, monitor the medical equipment and communicate remotely with doctors. Similarly in India, at a hospital in Chennai, ‘Zafi’ the robot does the rounds, transporting food and medicine to virus patients to lessen the risk to hospital medical staff [‘Tommy the robot nurse helps keep Italian doctors safe from coronavirus’, (Flavio LoScalzo), Reuters, 02-Apr-2020, www.reuters.com].

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Pepper the robot  (Photo: Reuters)

Japan is using humanoid robots as reception staff at hotels to greet patients with mild coronavirus symptoms. Robots like ‘Pepper’ at Kyogoku in Tokyo greet arriving patients and instruct them how to check-in while reassuring them with warm and positive messages [‘Pepper the robot set to greet COVID-19 patients checking in Tokyo hotels’, Hindustan Times, 01-May-2020, www.hidustantimes.com].

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With the need for pristine clean surfaces in public spaces to prevent the spread of the virus outbreak, a number of countries now employ robots as cleaners. At Hong Kong International Airport autonomous cleaning robots known as “Intelligent Sterilisation Robots” use UV light and air sterilisers to routinely clean and disinfect key operational areas of the airport [‘Clean me up, Scotty: Hong Kong airport debuts cleaning robots, disinfection booth in fight against COVID-19’, Coconuts, 30-Apr-2020, www.msn.com].

Such medical uses of robots have been replicated across a range of countries hit by the pandemic. With people confined to their homes under quarantine orders and required to maintain a distance of at least 150 cm from other humans, robots on wheels are being increasingly used to deliver products to them, or to deliver food to overworked NHS workers (Britain).

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(Photo: www.uk.news.yahoo.com)

Singapore has brought into service a robot with the decidedly unsexy name of “O-R3”, whose job it is to patrol the city’s parks and monitor the behaviour of joggers. This ever vigilant robot spots transgressors and warns them about the need to practice social distancing in public [‘Robot in Singapore tells joggers to stay home’, SBS, 28-Apr-2020, www.sbs.com.au]. Joggers and walkers in Singapore need to ultra-alert around the parks as the city has a second social distancing-monitor robot, Boston-built Spot the robotic dog (Robocop?)…if O-R3 doesn’t nap the violators, Spot (below) might.

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(Photo: CNA)

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Tunisia’s ‘Robocop’ looks more like a military style armoured vehicle  
(Photo: AFP)

Tunisian authorities have had a similar idea to curtail the incidence of virus infection in the capital Tunis. The police have been using a robot (a ‘Robocop’) who ‘walks’ the city beats, stopping and questioning people who it suspects should not be on the streets during lockdown. The Robocop asks people to produce their IDs which can be scanned by the robot’s in-built computer [‘Coronavirus: Tunisia deploys police robot on lockdown patrol’, (Rana Jawad), BBC News, (03-Apr-2020), www.bbcnews.com].

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Robot Cop (Source: The Hindu)

Chennai Police (southern India) are on the same wavelength as Tunis’, deploying it’s new “Robot Cop LD v5.0” equipped with a two-way intercom to surveil citizens in coronavirus hotspots in the city during containment. The Robot Cop is un-humanoid in appearance and has been described as “an oversized box on wheels” [‘Chennai Police Deploys “Robot Cop” in COVID-19 Hotspot’, (Kishalaya Kundu), Beebom, 01-May-2020, www.beebom.com].

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(Photo: BBT University)

Robotic engineers in Japan have produced avatar robots who can stand in for university graduands in virtual graduation ceremonies. BBT University in Tokyo uses ‘newme’ robots dressed in black graduation gowns and caps with mobile screens showing the student’s face attached to a motherboard. The robot proxies line up to be officially presented with a testamur by the university president while the actual graduate watches via Zoom from a safe distance at home [‘BBT University in Japan has graduates attend ceremonies via robots in light of Covid-19’, (Guan Zhen Tan), Mothership, 02-Apr-2020, www.mothership.sg].

Behind the 24–Hour Cycle Coronavirus Counts, How well do the Numbers Stack up?

Every day we are reminded of the global reach of the novel coronavirus crisis. We know it’s a pandemic because WHO and other health agencies publish data showing that 211 countries and territories have been affected by the disease. The international media coverage tends to focus largely on the unenviable “big five” chart-toppers who have been most affected – the US, Italy, Spain, France and the UK. A number of sites publish constantly updated lists of the growing toll of Covid-19 casualties, a sort of sombre “score card” listing all the countries who have recorded instances of the disease.

Confirmed Coronavirus Cases: Globally tracked, country-by-country – as @ 23-Apr-2020

Country Total casesTotal deaths Region
USA850,00047,700Americas
Italy 188,00025,500Western Europe
Spain 208,50021,750Western Europe
France 160,00021,500Western Europe
UK134,00018,300Western Europe
Sources: WHO http://covid19.who.int/;
http://worldometers.info/

When we scroll through the world tables of where the pandemic has landed, it’s instructive to look at the comparative totals by continent – Europe has a bit over 1.28 million confirmed cases recorded, and the Americas, 995,510 (predominantly from the US), compare these to South-East Asia, a bit more than 38,572 and Africa, a mere 18,234 cases✺✺.

(Source: www.vietnamcredit.com.vn)

From a statistical standpoint we might wonder if the published data gives a true impression of the extent of of the pandemic? It needs to be kept in mind that the numbers we have are those that have been reported to the World Health Organisation. Population differences aside, it is clear that the low numbers in South-East Asia and Africa (examples: Cambodia 122 cases, zero fatalities✺✺, Myanmar 139 cases, five fatalities✺✺, Ghana 1,279 cases, 10 fatalities✺✺, Ethiopia 117 cases, three fatalities✺✺) mask the full impact of the catastrophe. They are a product of limited testing by countries in these regions … widespread poverty, surplus populations, lack of resources and infrastructure mitigate against the capacity to take corrective, safety monitoring measures.

(Photo: www.theborneopost.com)

Limited testing capacity and weak surveillance
The small numbers of recorded cases and handful of reported deaths in Africa and S.E. Asia (the Caribbean is another such case in point) can engender a false security and justify a lack of action by such already economically and health-challenged countries, thus the risk of infections spreading is magnified. In the early phases of the outbreak some S.E. Asian states were slow to acknowledge the risks…even as late as mid-March, Myanmar’s government was still attributing it’s low number of cases to the superior “lifestyle and diet” of the locals. The fight against Covid-19 by Third World countries is further retarded by a failure to test widely and in the numbers necessitated by the crisis. It shouldn’t be overlooked that some of these countries have quite repressive regimes that don’t rank the goal of a universal healthcare system as their highest priority [‘Experts Doubt Low Coronavirus Counts of Some Southeast Asian Countries’, (Zsombor Peter), VOA, 29-Mar-2020, www.voanews.com].

(Photo: www.upnews.info.com)

For the bulk of African countries the story is similar. A by-product of their lack of development is that their health systems are fragile before the onset of coronavirus hits them. Awareness of the inability to cope with a full-blown health crisis, had led some leaders to advocate so-called “miracle cures” for the virus (eg, Madagascar’s president’s championing of untested traditional plant remedies). Nigeria (Africa’s largest nation by population)  shows only 981 confirmed cases and 31 deaths✺✺ to date but is looking as vulnerable as anyone in Africa. Oil exports are the hub of Nigeria’s economy and the fall of the world’s crude oil price to a record low will hamstrung the country’s efforts to contain any future eruptions of the disease [‘Coronavirus: How drop in oil price affects Nigeria’s economy’, (Michael Eboh), Vanguard, 17-Mar-2020, www.vanguardngr.com]. The outbreak of pandemic hotspots in Nigeria could be devastating, especially in the north, given the country’s population of nearly 200 million people and it’s inadequate healthcare capacity.

(Photo: www.newswirenow.com)

Too good to be …
Some countries have reported being lightly or relatively lightly touched by the onslaught of the coronavirus, these results have surprised outside observers. One such country that raises eyebrows in this respect is Russia. The republic has 146 million people and shares long borders with China, yet it fesses up to having had only 68,622 cases✺✺ (well under half of that of the UK) and suffered only a comparatively low 615 deaths✺✺ from the epidemic (most of those since the start of April). If you cast aside the anomalies, on paper it’s an excellent result! But whether Soviet or post-Soviet, there’s always an air of suspicious doubt about Russian information. The Russian Bear has had form in the past with cover-ups…a prime example—the Soviet Union throwing a tarpaulin over the Chernobyl nuclear disaster in the 1980s —indicative of a less than honest response to major disasters [‘The Very Low Number of Russia’s Reported COVID-19 Cases Raises Questions of a Cover-Up’, (Rick Moran), PJ Media, 22-Mar-2020, www.pjmedia.com].

Image: www.asianews.it

Russia, if it so erred, is not “Robinson Crusoe” in deliberately underreporting the pandemic’s effect. China for nearly three months from the initial outbreak didn’t include asymptomatic patients in the official stats, and only rectified this oversight on April Fools Day [‘China acknowledges underreporting coronavirus cases in official count’, (Mark Moore), New York Post, 01-Apr-2001, www.nypost.com]. For six weeks after WHO declared a global health emergency Indonesia did not report a single Covid-19 case (unlike most of it’s S.E. Asian neighbours). Considering the republic’s population size (more than 270 million) and it’s close links with China, this aroused widespread suspicion of underreporting and criticism in a Harvard University study which seemed to belatedly jolt Indonesia into disclosure. The first notification by Djakarta of coronavirus cases occurred on 2nd March, and from then on Indonesia’s curve has been on an upward trajectory – currently 8,211 cases, 689 deaths✺✺ [‘Why are there no reported cases of coronavirus in Indonesia?’, (Randy Mulyanto & Febriana Firdaus), Aljazeera, 18-Feb-2020, www.aljazeera.com].


Doubting a hermetically-sealed “Hermit Kingdom”
North-East Asia’s renegade, secretive state, North Korea, can be added to the list of countries purporting to be Covid-19–free. Pyongyang‘s official line has been met with disbelief from several external sources such as South Korea and Radio Free Europe which asserts that disclosures from within North Korean military circles confirm the occurrence of coronavirus cases in the border areas [‘What Is the Coronavirus Doing to North Korea’, (Nicholas Eberstadt), New York Times, 22-Apr-2020, www.nytimes.com]

Addendum: (Coronavirus as @ 0130 hrs EAT time, 25-April-2020)
USA 890,200 cases | 50,403 deaths
Italy 189,973 cases | 25,549 deaths
Spain 219,764 cases  | 22,524 deaths
France 158,183 cases | 21,856 deaths
UK 143,464 cases | 19,506 deaths

✺✺ figures as @ 0130 hrs EAT time, 25-Apr-2020


just over the last week the African continent experienced a sudden surge in infections, ‘Africa’s 43% jump in virus cases in 1 week worries experts’, (Gerard Zim Rae), ABC News, 23-Apr-2020, www.abcnews.go.com


although Russia did close its eastern border with China after the virus breakout  

 

Revisiting the Coronavirus Origin Theories

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(Image: KPBS)

China notified the World Health Organisation on 31 December 2019 of a series of “pneumonia-like” cases popping up in Wuhan, however it took some time for peripheral parts of the country to get wind of the burgeoning health crisis. Information from the government, when it did come, was pretty sketchy in the early stages of the outbreak. Soon after Chinese migrant workers began returning home from Wuhan, rumours of what might have caused the virus started to circulate in the regions.

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Zoonotic source
As the infection rates in Wuhan and Hubei province started to steeple in early February, there was lots of speculations about animal transmission to coronavirus’ “Patient Zero”. Civets, snakes, seafood, wolf cubs, rats—all live wildlife sold at the Wuhan ‘wet’ markets—got mentions as possible candidates for transmission. The story most heard and retold at the time was that it was bats that had transmitted the pathogen to humans at the Hua’nan markets⌧  (‘How It All Started: China’s Early Coronavirus Missteps’, (J Page, WX Fan & N Khan), WSJ, 06-Mar-2020), www.wsj.com). The Rhinolophus bat (Horseshoe bat) has been identified as the specific type of bat likely to have carried the infection (‘Coronavirus animal origin’, Crikey, 16-Apr-2020, www.crickey.com.au). A few weeks later there was a new prime suspect – the pangolin, the world’s most trafficked mammal. Chinese virologists⚘ had traced the virus to pangolins being sold at those same seafood markets in Wuhan (‘Mystery deepens over animal source of coronavirus’, (David Cyrenoski), Nature, 26-Feb-2020, www.nature.com).

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 (Image: Frans Lanting / National Geographic)

The inevitable conspiracy theories: Genetically-engineered virus
Since February China and the US have exchanged accusations that Covid-19 was deliberately created as a biological weapon—all without foundation (‘No, COVID-19 Coronavirus Was Not Bioengineered. Here’s The Research That Debunks That Idea’,  (Bruce Y Lee), Forbes, 17-Mar-2020, www.forbes.com). Chinese officials have also made the wild claim that the US Army brought the virus to Wuhan when it participated in the Military Games in the city in October last year. 

B041C7DB-C8DE-46DD-9276-AA94462605CD🔺 Wuhan markets (Photo: NOEL CELIS /AFP via Getty Images)

Over the last couple of months, another story disseminated by southern Republicans has been doing the rounds of the conservative media in America. It espouses the view that coronavirus originated not from a wet market but from a biosafety lab in Wuhan (Wuhan Institute of Virology), from an accidental leakage. Again this view is bereft of any hard evidence to support it but this hasn’t stopped President Trump and his allies at Fox from seizing on it! (“’Biological Chernobyl’: How China’s secrecy fueled coronavirus suspicions”, (Q Forgey, D Lippmann, N Bertrand & L Morello), Politico, 17-Apr-2020, www.politico.com).

While Covid-19 continues to wreak its trail of carnage worldwide, media and social media platforms will no doubt continue to throw up theories about the causes but until China releases the clinical and epidemiological data on the Wuhan outbreak,  the pandemic’s precise origin cannot be scientifically determined (Politico).3747AFE1-BAC3-4B1C-8F33-BF283C622CD2

🔺 Exporting America’s homegrown “Gates-gate”conspiracy – ‘Covidiocy‘ to Melbourne
(Photo: AAP/Ricky Barbour)

______________________________________________
⌧ bats are major reservoirs of many viruses, and prevalent in both the SARS and MERS outbreaks
scientific evidence for the pangolin as the culprit is based on a high match of its genome sequencing with that of SARS-CoV-2, however the research remains unpublished and therefore unreviewed; it is thought that pangolins may have been intermediate hosts for the disease …
bat pangolin human
these are only the less implausible theories, a raft of other ludicrous and wacky conspiratorial notions have been floated purporting to explain the epidemic’s genesis – ranging from Bill Gates having manufactured the virus to establish  himself as the ‘Czar’ of US health care, to Covid-19 being caused by the installation of the 5G cellphone network (‘Coronavirus spawns conspiracy theories’, (David Knowles), Yahoo!news, 18-Apr-2020, www.yahoonews.com)

Covid/Ovid 2020: Crisis (Mis)Management – How the World’s Leaders are Responding?

Lockdown immediately, quarantine everyone, isolate the virus? Close the borders! Go hard, go fast! Make haste slowly! Laissez-faire? Test as many as you can! Watch and wait, hold off, preserve the economy, keep people working! Half/half?Herd immunity? As the experts—both recognised and putative—come out of the woodwork, a plethora of different approaches to the 21st century’s greatest crisis are thrown up, causing ever deeper descent into confusion for those of us watching from the sidelines.

Sweden: Personal responsibility to do the right thing, fingers and toes crossed
At one extreme there’s the “hands-off” non-interventionist line adopted by Sweden…”a relatively relaxed strategy, seemingly assuming that overreaction is more harmful than under-reaction” – in other words, keep calm and carry on. The Swedish government’s goal being to build up a “herd immunity” of the population to (they hope) forestall further waves of infection. The blueprint involves letting the virus spread slowly while sheltering the old and weakest elements of society until the bulk of the population become naturally immune. So schools, restaurants, bars and gyms remain open, all places that many other countries have ’hot-spotted’ as potential petri dishes (to use of the media’s current favourite buzzword in the virus crisis). Critics of the Swedish voluntary approach have stressed the risks it is exposing itself to – a danger of overwhelming the health system’s capability and precipitating large numbers of premature deaths [‘Inside Sweden’s Radically Different Approach to the Coronavirus’, (Bojan Pancevski), Wall Street Journal, 30-Mar-2020, www.wsj.com; ‘Sweden under fire for ‘relaxed’ coronavirus approach – here’s the science behind it’, The Conversation, (PW Frank & PM Nilsson), 30-Mar-2020, www.mamamia.com.au]. While Sweden persists in it’s “long game”, Sweden’s death toll from coronavirus has reached 239❈, a far-from-inconsequential figure for a small population nation like Sweden (and more than double the next highest total of fatalities in the Nordic region, that of Denmark). Not happy, Scandinavian neighbours of Sweden!

🔺 Boris in isolation – self-sacrificing crash-test dummy for the nation, gauging the coronavirus level of virulence: “taking one for the nation!” (Picture: No 10 Downing Street/AFP)

Boris, not dancing
The UK government in the early stages of the crisis, along with the Netherlands, flirted with adopting Sweden’s herd immunity approach, but subsequently (and belatedly) opted for lockdown. The UK number of cases and mortality rates continue to rise alarmingly (2,352 dead❈) and it’s citizens can draw little reassurance from the antics of its erratic Conservative Party leader Boris Johnson. At the onset the insouciant Johnson downplayed the epidemic and declared that he was all for shaking hands with as many people as he could (his Churchillian bluff AKA confidence-building strategy?) This didn’t prove a good move, personally for the prime minister, as he was soon struck down with the virus (recalling wistfully whilst in self-quarantine that shaking hands with some people at a hospital, who with hindsight probably had coronavirus, probably wasn’t a good idea).

(Photo: AP)

China’s southern neighbours
Taiwan and Singapore both got early warning of the outbreak in China, which helped them get an early start on their countries’ protective measures. Taiwan, at the get-go, posted health workers at airports – incoming passengers from Wuhan (the virus’ origin-point) were checked for symptoms before they exited the planes. Singapore on January 3, inside four days of China’s notification to WHO of an unknown virus, which later was confirmed to be the COVID pathogen, was temperature screening passengers arriving from Wuhan. Taiwan and Singapore were also in a better state of preparedness (than say northern Asian countries bordering China like South Korea and Japan which initially struggled with their respective outbreaks) The two southeast Asian micro-states had learned invaluable lessons from the 2003 SARS and the 2009 swine epidemics. That the Singaporean and Taiwanese governments were upfront and transparent with the public, also got everyone in society quickly on board with the “national project”. The death toll for both Taiwan and Singapore stands well short of double figures❈ [‘How Taiwan and Singapore Have Contained the Coronavirus’, (Chloe Hadavas), Slate, 11-Mar-2020, www.slate.com].

(Photo: AP)

Continental contrast
The European comparison of how different countries have handled the virus focuses largely on a Germany v Italy correlation – unfortunately to the great disadvantage of the latter. Angela Merkel and Germany have been able to restrict their coronavirus fatalities thus far to 931❈, compared to Italy’s out-of-control, frighteningly catastrophic 13,155 deaths❈. The reasons for the size of discrepancy are manifold. First as with Taiwan Germany was ready at the outset, comparatively Italy wasn’t. Germany went to social distancing and lockdown early while Italy prevaricated, and Italy was also slow to seal it’s borders. Anticipation paid off for Germany, it had developed a favourable type of test for the virus before it hit. They then tested fast and widely. Italy was slower off the mark, and it’s testing regime was (and is) half or less that of Germany’s capacity. Integral to Germany’s edge is its medical infrastructure, the ratios are stark: Germany has 33.9 hospital beds for every 100,000 of population, cf. Italy, only 8.6 per 100,000. So, by the time Italy got its testing into full swing, the country was swamped with way too many corona-patients requiring critical and urgent treatment. Italy’s age demographic, skewed towards the geriatric end of the scale (second oldest population in the world after Japan) was also a decisive factor in the extremely high mortality rates it has experienced [‘How one country got months ahead of its neighbours in coronavirus fight’, (AP), Yahoo!News, 02-Apr-2020].

Life on Planet Trump 
In the US a reasonable expectation the citizens of the world’s leading democratic-capitalist state might normally entertain in such a disastrous crisis, would be to have mature, insightful national leadership. Instead, they have Trump! Countless reems of pages of news-copy have been wasted on the US president, but to briefly summarise his Covid-19 performance: at the start in January we got the glib and blasé Trump – “the virus was one person coming from China and we’ve got it under control”; by February it was, we had “pretty much shut it down” (somehow he thought it was over before it had hardly started taking root!?!); next he opined “warm weather will kill it in April”; “the numbers are going down” (said after public health officials had advised the White House that the virus was spreading); by late February it was “we have lost nobody to coronavirus” (there had already been US fatalities). In March Trump, rebuked for repeatedly spreading misinformation, resorted to “it’s the Democrats’ new hoax”; then, “it will disappear one day – like a miracle!” which perhaps demonstrates one of Trump’s rare threads of consistency, drawing a link to the president’s later assertion (completely tone-deaf to the message of social distancing and ignorant of realistic timeframes) that he wanted to see the churches in America full at Easter! [‘Coming Soon: Donald Trump As the Hero of COVID-19”, (Richard North Patterson), The Bulwark, 23-Mar-2020, www.thebulwurk.com].

🔺 Trump impersonating a giant bully rabbit (Photo: CBS News)

Perhaps the most striking and alarming example of Trump’s off-the-cuff and off-the-rails raves is his wilful and flagrant ignoring of the professional advice of his top medical advisers, eg, “anyone who wants a test can have one” (wrong); “we’ll have vaccines relatively soon…they’re coming” (even the non-scientific layperson knows it will take at least one to one-and-a-half years to be publicly available); “we have tremendous control of the virus”, completely contradicting Dr Fauci’s starkly realistic warning that the worst is ahead of us. The consequences of Trump’s disregarding scientific truths provided by medical experts in favour of convenient misinformation has been downright dangerous. His advocacy of an unproven coronavirus treatment (chloroquine phosphate) still being scientifically reviewed was a causal factor leading to the death of a man who tried to self-medicate using the ‘treatment’.

Trump, master of the ad hominem at the lectern, recently on TV seems bored with the subject, maybe looking round for a new focus (Iran?). Trump as president takes no responsibility. When he should be uniting all the key cogs in a coherent national response to the corona-crisis which is killing hundreds of Americans every day, he has been his divisive worst, brawling with the media, attacking medical workers for supposedly hoarding supplies, shifting blame to state governors. Fortunately, governors like New York’s Andrew Cuomo, California’s Gavin Newsom and Washington’s Jay Inslee, recognising the gaping gap in leadership and the lack of support coming from the White House, have risen to the mammoth and increasingly desperate challenge facing the country and taken the lead in the crisis [‘History’s verdict on Trump will be devastating’, (Michael D’Antonio), CNN, 30-Mar-2020, www.cnn.com].

(Photo: Jeff Gritchen, Orange County Register/SCNG)

The “Trump of the Tropics” 
Trump’s abject performance, his “epochal incompetence” (to quote Michael D’Antonio), in the crisis, is bad enough for the risks he has exposed Americans to, but his influence as a “role model” for far-right leaders in other countries, is helping to undermine those countries’ fight against the virus. One such leader is Brazil’s authoritarian president Jair Bolsonaro who expresses profound admiration for Trump (hence his nickname above), whose skepticism for the virus’ threat Bolsonaro mirrors. Bolsonaro has publicly dismissed the coronavirus as “a little cold”, refuses to isolate and continues to attend public events, irresponsibly mingling with crowds of his supporters, shaking hands with all❖. Bolsonaro, like Trump, has tended to “flip-flop” on the epidemic, lunging erratically from urging Brazilians to show caution in avoiding transmission of the disease (do as I say, not do as I do!) to calling for an end to the quarantine restrictions and removal of the shackles on the economy.

When confronted with the danger of the virus to Brazilian society, Bolsonaro rivals Trump in loopy explanations, eg, Brazilians possess a “natural immunity” which means that they cannot be infected by diseases (part of the Bolsonaro fantasy playbook!) So far, despite these unique ‘antibodies’ claimed by Bolsonaro, some 244 Brazilians have died from coronavirus❈. The Brazilian president has also exhibited the Trump trait of disbelieving the medical experts and the official statistics. When São Paulo recorded a sharp spike in deaths from the virus, Bolsonaro was quick to cast doubts on the numbers. The governors of São Paulo and Rio are two of the most vocal critics of his lax approach to the crisis, in return Bolsonaro blames the state governors for their concerted measures to halt the disease, labelling their efforts ‘criminal’ [‘Brazil’s Bolsonaro makes life-or-death coronavirus gamble’, (David Biller), Sydney Morning Herald, 29-Mar-2020, www.smh.com.au].

🔺 Bolsonaro, unsafe at any distance?

Some analysts have noted the element of political calculation in Bolsanaro’s hard line on the epidemic. The Brazilian leader’s may feel that if he can take the economy (still feeling the severe effects of the 2015/16 recession) to the next elections in good health, the voters may be less concerned about the country’s death toll from coronavirus (David Biller). Mexico’s president, López Obrador, is singing from a similar hymn-sheet as Bolsonaro. Obrador contends that the severity of the virus has been overstated, and has been quoted as saying that personally he would rely on his (lucky) amulets to keep him safe [‘In Brazil and Mexico, Leaders Downplay Dangers of Virus Outbreak’, Latino USA, 26-Mar-2020, www.latinousa.org].

🔺 President Lukashenko, national leader, sportsman, tractor enthusiast

Belarus, 2020 global sporting capital
Belarus president Alexander Lukashenko is another head of state professing an admiration for the US president and similarities in style can be observed. Lukashenko has launched the small East European country on a novel path to (supposedly) combat the deadly virus – a cocktail of sport, cold, vodka and saunas. The Belarus government has vetoed lockdowns and social isolation to counter coronavirus, and it is just about the only place in the world that hasn’t discontinued sporting events. The Tokyo Olympics have been canned for 2020 but crowds still flock to football matches in Belarus. The remarkable leader himself, leading by example, recently participated in an ice hockey game. Likewise, the annual victory parade scheduled for May is still all systems go! In addition to spruking sport (and would you believe, “tractor-riding” in the countryside⊞) as antidotes to the virus, the Belarusian president recommends drinking vodka and taking saunas, whilst reassuring Belarusian citizens that God will protect the country from the global pandemic, adding the rider that Belarus’ icy cold climate will also do the job [‘“Reckless” World Leader says vodka and saunas will protect people from coronvirus’, (James Hawkins), The Mirror, 30-Mar-2020, www.mirror.co.uk].

Postscript: Crisis climate – encroaching on democratic rights? 
While the pandemic continues to rage, the politics don’t abate. All countries trying to restrict the movements of their citizens have enacted emergency measures to try to confine the pathogen. Most countries have closed their borders and some have legislated the power to detain people. The fear for advocates of civil liberties is that the more authoritarian states may use the new arrangements to move towards martial law. Regimes cross the globe have enacted new powers, ostensibly to protecting the public, but at the same time with the effect of protecting themselves from public and press scrutiny and accountability [‘”Coronavirus” profound threat to democracy’, (Noah Millman), The Week, 01-Apr-2020, www.theweek.com]. In Hungary the right-wing Orbán government has suspended existing laws, by-passing the parliament to allow president Viktor Orbán to rule by decree (with no end date). Thailand has taken the opportunity to censor the nation’s news media (suing and intimidating journalists who criticise the government’s handling of the crisis). Turkmenistan has taken the unusual approach to the pandemic of banning all use of the word ‘coronavirus’ by it’s citizens and state-controlled media. According to Radio Free Europe‘s Turkmenistan watch group, people talking about the virus or wearing masks in public could be arrested by the authoritarian regime which claims to have had no confirmed cases of the virus…as Turkmenistan shares a border with coronavirus-ravaged Iran this claim is viewed from outside with extreme skepticism. President Berdymukhamedov, not to be outdone for whacky coronavirus remedies, has recommended inhaling smoke from a burning desert-region plant (Vanguard) [’For Autocrats and Others, Coronavirus Is a Chance to Grab Even More Power’, (Selma Gebrekidian), New York Times, 30-Mar- 2020, www.nytimes.com; ‘Coronavirus: The unusual ways countries are managing lockdowns’, BBC News, 01-Apr-2020, www.bbc.co.uk].

🔻 President Berdymukhamedov, safe distancing not on the agenda here! (Photo: AFP/Igor SAFIN)

 

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❈ as at 1000 hours, Greenwich M-T, 02-Apr-2020

◘ faced with an overwhelming dose of reality, “Flip-Flop Man” Trump has been forced to pivot 180° away from this…now the White House is acknowledging the health authorities’ dire, nightmarish predictions, (‘US predicts up to 240,000 deaths even with social distancing’, ABC News, 01-Apr-2020www.abc.net.com.au)

the secular and materialistic lifestyle Trump follows, nay revels in, contrasts conspicuously with the image he tries to sow in the minds of the American public and especially the Religious Right, of him as piously religious

❖ Bolsonaro himself has apparently tested twice for coronavirus but won’t publish the results – transparent governance at its finest!

including the notorious assertion by Bolsonaro that they “can swim in raw sewerage and not catch a thing” – in effect this is what he is doing to Brazilians with his cavalier policy

⊞ the Belarusian president was quoted as saying: “There, the tractor will heal everyone. The fields heal everyone.” (tractors are apparently something of a fetish item in Belarus!)(‘Belarusian president proposes ‘tractor’ therapy for coronavirus’, Vanguard, 16-Mar-2020, www.vanguardngr.com)
Turkmenistan is ranked by Paris-based RSF (Reporters Without Borders) as the country with the least press freedom in the world
Berdymukhamedov has an exalted status in Turkmenistan, being seen as the Arkadag (protector of the people)

The Fight against the Coronavirus Pandemic: Reflecting on the Numbers

The war against the coronavirus outbreak is indeed global, infecting to date 199 countries and territories and every continent with the possible exception of (largely and seasonally unpopulated) Antartica. Every day the apps on social media and the news broadcasts inform us of the rising tally of coronavirus cases and of the fatalities, but what we do know is that these totals do not convey a true picture of the populations affected by the virus. They are often an indicator only, a way of charting the trajectory of the elusive curve that every health service and provincial and national government strives to flatten.

Distribution of Covid-19 cases worldwide, 31-Mar-2020 (www.ecdc.europa.eu)

The complexity of the disease partly explains the inexactness. That being infected with coronavirus can be asymptomatic and remains recordable for those never tested, highlights this problem. On a country by country basis the uncertainty over numbers magnifies. Some countries (a lot in Africa for instance) have no or minimal records of testing, which is not the same as saying they have no coronavirus cases! The reason for this might lie in the fact these predominantly impoverished countries have not the wherewithal nor the infrastructure to test even significant numbers of the population, they simply can’t cope. Thus their true numbers are never ascertained. There are other countries in the world who are motivated by reasons other than capacity to report the incidence of infection and mortality, eg, a desire to mask the extent of the calamity for domestic or external purposes.

Geographical distribution of Covid-19 cases worldwide, 31-Mar-2020 (www.ecdc.europa.eu)

The media’s daily servings, the table of virus mortality and morbidity gives us the bare bones of the depth of the human catastrophe — Italy a disaster, Spain a disaster, China a disaster but seemingly over the hump, Iran shockingly bad, France shockingly bad, USA very bad but likely to become even more catastrophic, UK and Netherlands, both worsening, etc. But of equal curiosity is those countries positioned much lower on the ladder of gloom that stand out as demographic anomalies, their numbers almost too good to believe…indeed! Two such are Russia and India. Russia, a vast country with around 145 million people has fessed up to just 17 deaths⋇. On face value a result that would hearten the most pessimistic, but you have to wonder about the level of reportage? India, with 1.3 billion-plus people has so far recorded a mere 32 deaths⋇ (compared to Italy with 60 million people which has lost just shy of 11,600 lives⋇). With India, the lowness of the figure is overshadowed by the inevitability of magnification…the sheer mass of humanity confined within such an acute density of space means that for the substrata of Indians, the poorest classes, no matter how earnestly their prime minister entreats them, they simply cannot physically isolate themselves. The directive from on high to keep a “social distance” from others to ward off the virulent effect of the epidemic remains for the vast masses a pipe dream. That many, many of these unfortunate souls will not escape infection and worse—either recorded or unrecorded—remains inevitable.

At 26-Mar-2020 (Source: Newsweek Statista)

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as at 1515 hrs, Greenwich Mean-time, 31st March 2020, ‘Confirmed Cases and Deaths by Country, Territory, or Conveyance’, www.worldometers.info/